hcpcs	source	category	cms_code	description	unit	price	nf_quantity	f_quantity
03X0T	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
03X0T	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
03X0T	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	5	
03X0T	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	2	
03X0T	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	0.2	
03X0T	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	0.1014	
03X0T	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
03X0T	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
03X0T	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	
03X0T	CMS	Lab	SL020	bleach	ml	0.0033	2	
10021	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
10021	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
10021	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
10021	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10021	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10021	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10021	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10030	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
10030	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
10030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
10030	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
10030	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
10030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
10030	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
10030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
10030	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10030	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
10030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
10030	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
10030	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
10030	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
10030	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
10030	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
10030	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
10030	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
10030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
10030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
10030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
10030	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
10030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
10030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
10030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
10030	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	0
10030	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
10030	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
10035	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
10035	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
10035	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
10035	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
10035	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
10035	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
10035	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
10035	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0
10035	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
10035	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10035	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10035	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	3	0
10035	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
10035	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
10035	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
10035	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
10035	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
10035	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	2	0
10035	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
10035	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
10035	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
10035	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
10035	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
10035	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
10035	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
10035	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
10035	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
10036	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
10036	RUC	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
10036	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
10036	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
10036	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
10036	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10036	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10036	RUC	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	3	0
10036	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
10036	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
10036	RUC	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
10036	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
10036	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
10036	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	2	0
10036	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
10036	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
10036	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
10036	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
10036	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
10036	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
10036	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
10040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
10040	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
10040	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
10040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10040	RUC	"Cutters, Closures, Cautery"	SF022	comedone extractor	item	2.7225	1	0
10040	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
10040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	5	0
10040	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
10040	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
10040	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
10040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
10040	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
10060	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
10060	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
10060	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
10060	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
10060	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
10060	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
10060	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10060	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	1
10060	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
10060	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	10	6
10060	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
10060	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
10060	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	10
10060	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	10
10060	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
10061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	2
10061	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
10061	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
10061	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
10061	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10061	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
10061	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
10061	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
10061	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	1
10061	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	3	1
10061	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	1
10061	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	6	0
10061	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
10061	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	1
10061	RUC	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	1	1
10061	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
10061	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	5
10061	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	3
10061	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
10061	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
10080	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
10080	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
10080	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
10080	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
10080	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
10080	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
10080	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
10080	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
10080	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10080	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10080	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10080	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
10080	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10080	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10080	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
10080	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
10080	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
10080	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
10080	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
10080	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
10080	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
10080	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
10080	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
10080	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
10080	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
10080	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
10080	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
10080	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
10080	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
10080	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
10081	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
10081	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
10081	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
10081	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
10081	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
10081	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
10081	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
10081	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
10081	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10081	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10081	Jan03	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10081	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
10081	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10081	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10081	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
10081	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
10081	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
10081	Jan03	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
10081	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
10081	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
10081	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
10081	Jan03	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
10081	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
10081	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
10081	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
10081	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
10081	Jan03	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
10081	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
10081	Jan03	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
10081	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
10081	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
10081	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
10081	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
10120	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
10120	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
10120	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
10120	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
10120	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
10120	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10120	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10120	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10120	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
10120	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
10120	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
10120	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
10120	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
10120	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
10120	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
10120	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10121	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
10121	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
10121	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
10121	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
10121	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
10121	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10121	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10121	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
10121	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
10121	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10121	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
10121	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
10121	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
10121	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
10121	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
10121	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
10121	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
10121	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
10121	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
10140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
10140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
10140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
10140	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
10140	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
10140	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
10140	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10140	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10140	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10140	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
10140	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
10140	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
10140	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
10160	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
10160	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
10160	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
10160	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
10160	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10160	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10160	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
10160	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
10160	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
10160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10180	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
10180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
10180	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
10180	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
10180	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
10180	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
10180	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
10180	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
10180	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
10180	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
10180	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
10180	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
10180	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
10180	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
10180	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
10180	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
10180	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
10180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
10180	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
10X11	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
10X11	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
10X11	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
10X12	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
10X12	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
10X12	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
10X12	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
10X12	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
10X12	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10X12	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
10X12	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10X12	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10X12	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
10X12	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
10X13	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
10X13	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
10X13	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
10X14	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
10X14	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
10X14	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
10X14	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
10X14	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
10X14	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
10X14	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
10X14	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
10X14	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
10X14	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
10X14	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10X14	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10X14	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
10X14	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10X14	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	3	0
10X14	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10X14	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10X14	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
10X15	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	3	0
10X15	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
10X15	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
10X15	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
10X16	RUC	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
10X16	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
10X16	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
10X16	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
10X16	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
10X16	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
10X16	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
10X16	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
10X16	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
10X16	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
10X16	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
10X16	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
10X16	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
10X16	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	3	0
10X16	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
10X16	RUC	"Accessory, Procedure"	SD086	grids	item	0.1375	1	0
10X16	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
10X16	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
10X17	RUC	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	3	0
10X17	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
10X17	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
10X17	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11000	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
11000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11000	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11000	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11000	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11000	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11000	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
11000	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
11000	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	3	0
11000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
11000	CMS	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.1395	1	0
11000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11001	Sep02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11001	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
11001	Sep02	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
11001	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	3	0
11001	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
11001	Sep02	"Pharmacy, Rx"	SH038	hemostatic solution (Lumicain)	ml	0.1395	1	0
11001	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11001	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11010	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
11010	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
11010	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
11010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
11010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11010	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
11010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
11010	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
11010	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
11010	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
11010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
11010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11010	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
11010	CMS	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
11010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
11010	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11010	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
11010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11010	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11010	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
11010	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
11010	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
11010	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11010	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11010	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
11010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11010	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
11010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
11010	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11011	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
11011	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
11011	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
11011	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
11011	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11011	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
11011	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
11011	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
11011	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
11011	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
11011	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
11011	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11011	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
11011	CMS	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
11011	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
11011	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11011	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11011	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11011	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
11011	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11011	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11011	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11011	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
11011	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
11011	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
11011	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11011	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11011	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11011	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
11011	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11011	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
11011	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11011	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11011	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
11011	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11012	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
11012	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
11012	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
11012	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
11012	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11012	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
11012	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
11012	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
11012	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
11012	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
11012	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
11012	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11012	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
11012	CMS	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
11012	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
11012	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11012	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11012	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11012	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
11012	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11012	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11012	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11012	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
11012	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
11012	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
11012	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11012	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11012	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11012	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
11012	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11012	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
11012	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11012	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11012	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
11012	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11042	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11042	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11042	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
11042	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11042	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
11042	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
11042	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
11042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
11042	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
11042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	10	0
11042	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11042	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11042	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
11043	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11043	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11043	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11043	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11043	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11043	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11043	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11043	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
11043	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11043	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11043	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11043	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
11043	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	3	0
11043	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	2	0
11043	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
11043	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11043	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11043	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	6	0
11043	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11043	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11043	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11043	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11043	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11043	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
11044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11044	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11044	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11044	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
11044	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11044	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11044	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
11044	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	3	0
11044	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	2	0
11044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
11044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11044	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	6	0
11044	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11044	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11044	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11044	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11044	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
11045	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
11045	CPT11 25	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
11045	CPT11 25	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
11045	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11045	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11046	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
11046	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11046	CPT11 25	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	6	0
11046	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11046	CPT11 25	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11047	CPT11 25	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
11047	CPT11 25	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11047	CPT11 25	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11047	CPT11 25	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	6	0
11047	CPT11 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11047	CPT11 25	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11055	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11055	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11055	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11055	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11055	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.2775	1	0
11055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11055	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.7957	1	0
11055	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.269	4	0
11055	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	6	0
11055	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	0
11055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11056	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11056	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11056	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11056	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11056	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.2775	1	0
11056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11056	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.7957	1	0
11056	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.269	6	0
11056	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	6	0
11056	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	0
11056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11057	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11057	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11057	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11057	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11057	CMS	"Accessory, Procedure"	SD097	"monofilament, sensory testing"	item	0.2775	1	0
11057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11057	CMS	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.7957	1	0
11057	CMS	"Wound Care, Dressings"	SG003	adhesive foam	inch	0.269	8	0
11057	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	6	0
11057	CMS	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	0
11057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11200	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
11200	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11200	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11200	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	6	0
11200	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
11200	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	5	0
11200	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	12	0
11200	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11300	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11300	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11300	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11300	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11300	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11300	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
11300	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11300	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11300	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11300	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11300	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11300	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11300	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11300	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11300	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
11300	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11300	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11300	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11300	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11300	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	2	0
11300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11301	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11301	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11301	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11301	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11301	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11301	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11301	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11301	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11301	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11301	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11301	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
11301	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11301	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11301	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11301	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11301	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11301	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11301	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11301	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11301	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0
11301	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11301	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11301	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11301	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11301	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11301	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	4	0
11301	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11302	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11302	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11302	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11302	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11302	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11302	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11302	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11302	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11302	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11302	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11302	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11302	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11302	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11302	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11302	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11302	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11302	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11302	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11302	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
11302	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11302	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
11302	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11302	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11302	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11302	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11302	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11302	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	6	0
11302	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11303	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11303	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11303	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11303	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11303	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11303	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11303	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11303	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11303	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11303	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11303	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11303	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11303	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11303	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11303	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11303	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11303	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11303	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11303	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
11303	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
11303	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0
11303	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11303	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
11303	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11303	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11303	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11303	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	8	0
11303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11305	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11305	CPT13 May 40	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11305	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11305	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11305	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11305	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11305	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11305	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11305	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11305	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11305	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11305	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
11305	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11305	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11305	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11305	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
11305	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11305	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11305	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11305	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	2	0
11305	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11306	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11306	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11306	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11306	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11306	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11306	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11306	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11306	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11306	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11306	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11306	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11306	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11306	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11306	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11306	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11306	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11306	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11306	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11306	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11306	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	8	0
11306	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11306	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11306	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11306	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11306	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	4	0
11306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11307	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11307	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11307	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11307	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11307	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11307	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11307	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11307	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11307	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11307	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11307	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11307	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11307	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11307	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11307	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11307	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11307	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11307	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11307	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
11307	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11307	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
11307	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11307	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11307	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11307	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11307	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11307	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	6	0
11307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11308	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11308	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11308	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11308	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11308	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11308	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11308	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11308	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11308	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11308	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11308	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11308	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11308	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11308	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
11308	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0
11308	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11308	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11308	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11308	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	8	0
11308	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11310	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11310	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11310	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11310	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11310	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11310	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11310	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11310	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11310	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11310	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11310	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
11310	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11310	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11310	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11310	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11310	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11310	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11310	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11310	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11310	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
11310	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11310	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11310	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11310	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11310	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11310	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	2	0
11310	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11311	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11311	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11311	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11311	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11311	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11311	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11311	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4	0
11311	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11311	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
11311	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11312	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11312	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11312	RUC	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11312	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11312	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11312	RUC	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11312	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11312	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11312	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11312	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11312	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11312	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11312	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11312	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11312	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11312	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11312	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11312	RUC	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11312	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
11312	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11312	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
11312	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11312	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11312	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11312	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11312	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11312	RUC	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	6	0
11312	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11313	CPT13 May 40	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11313	CPT13 May 40	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11313	CPT13 May 40	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
11313	CPT13 May 40	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11313	CPT13 May 40	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11313	CPT13 May 40	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
11313	CPT13 May 40	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
11313	CPT13 May 40	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11313	CPT13 May 40	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11313	CPT13 May 40	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11313	CPT13 May 40	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
11313	CPT13 May 40	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11313	CPT13 May 40	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11313	CPT13 May 40	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	4	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	1	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
11313	CPT13 May 40	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	12	0
11313	CPT13 May 40	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	8	0
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11313	CPT13 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11313	CPT13 May 40	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11313	CPT13 May 40	Lab	SL463	Aluminum Chloride 70%	ml	0.2175	8	0
11313	CPT13 May 40	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
11400	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
11400	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11400	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11400	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11400	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11400	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11400	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11400	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11400	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11400	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11400	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11400	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11400	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11400	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11400	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11400	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11400	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11400	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11401	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11401	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11401	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11401	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11401	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11401	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11401	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11401	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11401	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11401	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11401	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11401	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11401	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11401	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11401	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11401	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11401	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11401	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11402	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11402	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11402	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11402	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11402	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11402	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11402	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11402	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11402	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11402	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11402	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11402	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11402	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11402	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11402	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11402	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11402	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11402	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11402	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11403	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11403	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11403	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11403	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11403	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11403	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11403	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11403	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11403	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11403	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11403	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11403	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11403	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11403	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11403	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
11403	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11403	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11403	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11403	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11403	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11404	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11404	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11404	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11404	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11404	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11404	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11404	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11404	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11404	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11404	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11404	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11404	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11404	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11404	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11404	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	30	0
11404	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11404	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11404	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11404	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11404	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11406	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11406	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11406	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11406	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11406	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11406	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11406	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11406	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11406	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11406	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11406	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11406	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11406	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11406	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
11406	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11406	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	1
11406	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11406	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11420	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11420	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11420	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11420	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11420	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11420	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11420	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11420	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11420	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11420	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11420	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11421	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11421	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11421	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11421	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11421	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11421	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11421	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11421	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11421	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11421	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11421	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11421	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11421	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11421	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11421	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11422	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11422	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11422	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11422	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11422	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11422	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11422	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11422	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11422	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11422	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11422	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11422	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11422	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11422	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11422	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11422	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11422	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11422	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11422	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11423	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11423	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11423	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11423	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11423	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11423	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11423	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11423	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11423	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11423	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11423	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11423	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11423	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11423	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11423	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11423	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11423	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11423	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11423	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11424	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	2	1
11424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11424	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11424	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11424	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11424	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11424	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11424	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11424	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11424	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11424	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11424	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11424	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11424	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11424	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11424	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11424	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11424	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11424	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11426	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	2	1
11426	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11426	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11426	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11426	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11426	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11426	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11426	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11426	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11426	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11426	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11426	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11426	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11426	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11426	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11426	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	1
11426	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11426	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11440	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11440	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11440	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11440	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11440	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11440	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11440	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11440	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11440	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11440	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11440	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11440	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11440	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11440	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11440	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11441	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11441	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11441	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11441	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11441	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11441	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11441	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11441	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11441	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11441	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11441	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11441	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11441	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11441	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
11441	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11441	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11442	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11442	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11442	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11442	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11442	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11442	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11442	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11442	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11442	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11442	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11442	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11442	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11442	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11442	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11442	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11442	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11442	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11442	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11442	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11442	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11443	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11443	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11443	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11443	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11443	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11443	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11443	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11443	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11443	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11443	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11443	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11443	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11443	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11443	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11443	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
11443	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11443	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11443	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11443	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11443	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11444	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	2	1
11444	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11444	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11444	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11444	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11444	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11444	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11444	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11444	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11444	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11444	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11444	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11444	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11444	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11444	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
11444	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11444	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11444	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11444	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11444	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11446	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	2	1
11446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11446	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11446	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11446	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11446	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11446	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11446	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11446	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11446	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11446	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11446	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
11446	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	30	0
11446	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11446	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	1
11446	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11446	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11450	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11450	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11450	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
11450	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11450	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11450	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11450	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11450	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11451	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11451	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11451	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11451	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11451	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
11451	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11451	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11451	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11451	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11451	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11462	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11462	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11462	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11462	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
11462	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11462	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11462	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11462	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11462	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11463	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11463	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11463	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11463	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11463	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11463	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11463	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11463	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11463	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11463	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
11463	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11463	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11463	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11463	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11463	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11463	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11470	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11470	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11470	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11470	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11470	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11470	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11470	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11470	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11470	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
11470	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11470	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11470	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11470	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11470	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11470	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11471	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11471	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
11471	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11471	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11471	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11471	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11471	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11471	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11471	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11471	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11471	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
11471	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11471	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11471	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11471	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11471	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11471	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11600	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11600	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11600	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11600	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11600	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11600	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11600	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11600	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11601	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11601	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11601	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11601	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11601	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11601	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11601	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11601	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11601	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11601	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11601	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11601	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11601	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11601	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11601	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11601	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11601	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11601	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11601	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11601	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11601	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11601	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11601	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11602	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11602	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11602	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11602	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11602	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11602	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11602	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11602	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11602	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11602	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11602	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11602	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11602	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11602	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11602	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11602	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11602	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11602	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11602	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11602	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11602	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11602	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11602	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11602	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11603	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11603	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11603	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11603	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11603	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11603	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11603	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11603	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11603	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11603	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11603	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11603	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11603	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11603	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11603	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11603	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11603	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11603	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11603	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11603	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11603	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11603	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11603	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11603	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11604	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11604	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11604	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11604	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11604	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11604	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11604	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11604	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11604	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11604	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11604	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11604	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11604	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11604	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11604	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11604	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11604	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11604	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11604	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11604	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11604	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11604	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11604	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11604	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11606	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11606	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11606	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11606	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11606	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11606	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11606	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11606	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11606	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11606	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11606	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11606	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
11606	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11606	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11606	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11606	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11606	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11606	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11606	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11606	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11606	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11606	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11620	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11620	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11620	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11620	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11620	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11620	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11620	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11620	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11621	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11621	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11621	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11621	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11621	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11621	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11621	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11621	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11621	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11621	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11621	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11621	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11621	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11621	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11621	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11621	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11621	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11621	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11621	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11621	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11621	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11621	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11621	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11621	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11622	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11622	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11622	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11622	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11622	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11622	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11622	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11622	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11622	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11622	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11622	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11622	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11622	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11622	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11622	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11622	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11622	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11622	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11622	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11622	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11622	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11622	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11622	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11622	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11623	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11623	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11623	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11623	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11623	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11623	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11623	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11623	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11623	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
11623	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11623	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11623	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11623	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11623	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11623	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11623	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11623	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11623	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11623	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11623	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11623	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11623	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11623	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11623	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11624	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11624	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11624	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11624	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11624	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11624	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11624	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11624	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11624	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11624	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11624	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11624	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11624	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
11624	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11624	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11624	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11624	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11624	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11624	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11624	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11624	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11624	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11624	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11626	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11626	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11626	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11626	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11626	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11626	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11626	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11626	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11626	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11626	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11626	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11626	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11626	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
11626	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11626	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11626	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11626	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11626	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11626	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11626	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11626	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11626	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11626	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11640	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11640	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11640	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11640	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11640	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11640	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11640	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11640	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11640	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11640	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11640	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11640	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11640	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11640	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11640	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11640	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11640	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11640	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11640	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11640	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11640	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11640	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11641	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11641	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11641	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11641	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11641	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11641	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11641	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11641	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11641	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11641	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11641	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11641	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11641	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11641	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11641	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11641	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11641	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11641	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11641	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11641	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11641	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11641	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11641	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11642	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11642	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11642	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11642	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11642	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11642	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11642	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11642	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11642	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11642	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11642	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11642	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11642	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11642	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11642	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11642	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11642	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11642	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11642	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11642	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11642	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11642	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11643	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11643	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11643	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11643	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11643	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11643	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11643	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11643	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11643	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11643	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11643	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11643	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11643	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11643	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11643	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11643	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11643	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
11643	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11643	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11643	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11643	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11643	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11643	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11643	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11644	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11644	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11644	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11644	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11644	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11644	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11644	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11644	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11644	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11644	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11644	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11644	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11644	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11644	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11644	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11644	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	2
11644	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11644	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11644	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11644	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11644	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11644	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11646	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11646	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11646	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11646	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11646	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11646	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11646	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11646	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
11646	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11646	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11646	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11646	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11646	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11646	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11646	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
11646	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	2
11646	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11646	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11646	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11646	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11646	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11646	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
11646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11719	CPT13 Mar 13	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11719	CPT13 Mar 13	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11719	CPT13 Mar 13	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11719	CPT13 Mar 13	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
11719	CPT13 Mar 13	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
11720	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11720	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11720	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11720	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11720	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
11720	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
11720	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
11720	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
11720	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11720	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
11720	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
11720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11721	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11721	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11721	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11721	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
11721	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
11721	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
11721	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
11721	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
11721	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
11721	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
11721	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
11721	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11730	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11730	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11730	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11730	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11730	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
11730	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11730	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11730	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11730	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11730	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
11730	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
11730	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
11730	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
11730	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11730	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
11730	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11730	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11730	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11730	CMS	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0
11732	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11732	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
11732	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11732	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
11732	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11732	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11740	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
11740	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
11740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11740	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11740	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11740	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
11740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
11740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11750	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
11750	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11750	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11750	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
11750	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11750	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
11750	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11750	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
11750	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	1
11750	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
11750	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	2	1
11750	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	2	1
11750	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	1
11750	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0
11750	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
11750	RUC	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.2215	2	0
11750	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
11750	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11750	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11750	RUC	Lab	SL154	alcohol ethyl 100%	ml	0.028	2	0
11755	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11755	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
11755	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11755	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11755	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11755	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11755	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11755	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11755	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11755	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
11755	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11755	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
11755	RUC	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
11755	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11755	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11755	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
11755	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11755	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11755	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11755	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
11760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
11760	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
11760	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
11760	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
11760	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11760	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11760	CMS	"Wound Care, Dressings"	SG034	"dressing, 3in x 3in (Adaptic)"	item	0.507	1	0
11760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11760	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
11760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11760	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
11760	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
11760	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11760	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11760	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11760	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11762	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
11762	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
11762	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
11762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
11762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11762	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11762	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11762	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11762	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11762	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11762	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
11762	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985	1	0
11762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11762	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
11762	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
11762	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11762	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11762	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11762	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11765	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11765	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11765	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
11765	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
11765	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
11765	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
11765	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11765	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11765	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11765	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11765	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11765	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11765	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
11765	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985	1	0
11765	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11765	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11765	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
11765	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
11765	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11765	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11765	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
11765	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11770	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
11770	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
11770	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11770	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
11770	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11770	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
11770	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
11770	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
11770	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11770	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11770	Jan03	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11770	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
11770	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11770	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11770	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11770	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11770	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11770	Jan03	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11770	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
11770	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11770	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
11770	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
11770	Jan03	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
11770	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
11770	Jan03	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11770	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
11770	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
11770	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11770	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
11770	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
11771	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
11771	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
11771	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11771	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	4	0
11771	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11771	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11771	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11771	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11771	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11771	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11771	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
11771	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11771	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	0
11771	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11771	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
11771	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	25	0
11771	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
11772	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
11772	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
11772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11772	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	3	2
11772	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11772	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
11772	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
11772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
11772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
11772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
11772	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
11772	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	2
11772	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	3	2
11772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11772	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11772	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11772	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
11772	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
11772	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
11772	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11772	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11772	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	3	2
11772	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	2
11772	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
11772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
11772	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	3	2
11772	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	3	2
11772	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
11772	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
11772	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
11772	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11772	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
11772	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
11900	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11900	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11900	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11900	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11900	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11900	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11900	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
11900	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11900	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11901	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11901	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11901	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11901	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11901	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11901	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11901	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11901	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11901	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
11901	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11901	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
11901	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
11901	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11920	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11920	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11920	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11920	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
11920	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11920	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11920	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	3	0
11920	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	0
11920	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	3	0
11921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11921	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11921	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
11921	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
11921	CMS	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
11921	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11921	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11921	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	3	0
11921	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	0
11921	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	3	0
11922	Mar04	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
11922	Mar04	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11922	Mar04	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11922	Mar04	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11922	Mar04	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11950	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11950	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11950	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11951	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11951	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11952	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11952	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11952	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11952	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11952	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11952	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
11952	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
11954	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11954	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
11954	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
11954	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11954	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11954	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
11954	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
11960	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		8
11960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
11960	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		8
11960	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		8
11960	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
11960	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		80
11970	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
11970	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
11970	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
11970	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
11970	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
11970	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
11971	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
11971	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
11971	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
11971	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
11971	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
11971	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11971	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
11971	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
11971	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
11971	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
11971	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
11971	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
11971	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
11971	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
11971	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
11971	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
11971	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
11971	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
11971	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11971	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11976	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
11976	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11976	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
11980	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11980	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11980	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
11980	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11980	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
11980	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
11980	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
11980	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
11980	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
11980	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11980	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
11980	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
11981		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
11981		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11981		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
11981		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11981		"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11981		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11981		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11981		"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11981		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11981		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
11981		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
11981		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
11981		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	0
11981		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11981		"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.175	1	0
11982		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
11982		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11982		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
11982		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11982		"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11982		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11982		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11982		"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11982		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11982		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
11982		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
11982		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
11982		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	0
11982		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11982		"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.175	1	0
11983		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
11983		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
11983		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
11983		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
11983		"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
11983		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
11983		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
11983		"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11983		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
11983		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
11983		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
11983		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
11983		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	0
11983		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11983		"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.175	1	0
11X02	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11X02	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11X02	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11X02	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11X02	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11X02	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11X02	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11X02	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
11X02	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
11X02	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
11X02	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
11X02	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
11X02	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11X02	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11X02	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11X02	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	2	0
11X02	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0
11X02	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11X02	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X02	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11X02	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
11X02	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11X03	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
11X03	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	2	0
11X03	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11X03	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X03	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11X04	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
11X04	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11X04	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11X04	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11X04	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11X04	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11X04	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11X04	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11X04	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
11X04	RUC	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.0885	1	0
11X04	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
11X04	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
11X04	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.5925	1	0
11X04	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
11X04	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11X04	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11X04	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11X04	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11X04	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
11X04	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	3	0
11X04	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0
11X04	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11X04	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X04	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11X04	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
11X04	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11X05	RUC	"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.0885	1	0
11X05	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
11X05	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	3	0
11X05	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
11X05	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X05	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11X06	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
11X06	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
11X06	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
11X06	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
11X06	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
11X06	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
11X06	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
11X06	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
11X06	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
11X06	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
11X06	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
11X06	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
11X06	RUC	"Accessory, Procedure"	SD269	Grounding pad	item	2.5925	1	0
11X06	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
11X06	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
11X06	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
11X06	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
11X06	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
11X06	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
11X06	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
11X06	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
11X06	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0
11X06	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
11X06	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X06	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
11X06	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
11X06	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
11X07	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
11X07	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
11X07	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
11X07	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
11X07	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
12001	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12001	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12001	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12001	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
12001	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12001	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12001	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12001	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12001	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12001	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12001	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12001	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12001	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12002	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12002	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12002	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12002	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12002	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12002	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
12002	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12002	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12002	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12002	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12002	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12002	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12002	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12002	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12002	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12004	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12004	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12004	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12004	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12004	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
12004	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12004	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12004	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12004	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12004	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
12004	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12004	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12004	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12004	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12005	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12005	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12005	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12005	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12005	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	6	0
12005	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12005	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
12005	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12005	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	48	0
12005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12005	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12005	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
12005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	0
12005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12006	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12006	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12006	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12006	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12006	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
12006	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12006	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
12006	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12006	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	54	0
12006	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
12006	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12006	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
12006	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	0
12006	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12007	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12007	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12007	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12007	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12007	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	10	0
12007	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12007	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
12007	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
12007	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	66	0
12007	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
12007	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12007	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
12007	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	0
12007	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12011	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12011	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12011	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12011	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12011	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12011	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
12011	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12011	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12011	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12011	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12011	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
12011	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12011	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12011	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12011	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12011	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12011	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12013	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12013	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12013	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12013	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12013	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12013	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
12013	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12013	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12013	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12013	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12013	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12013	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12013	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12013	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12013	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12014	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12014	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12014	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12014	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12014	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12014	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12014	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
12014	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12014	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12014	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12014	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12014	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12014	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12014	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12014	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12014	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12015	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12015	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12015	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12015	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12015	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
12015	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12015	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
12015	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12015	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
12015	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12015	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12015	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
12015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
12016	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
12016	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
12016	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
12016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12016	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
12016	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	6	0
12016	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12016	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
12016	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12016	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	48	0
12016	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12016	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12016	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
12016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	0
12016	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12020	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
12020	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
12020	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12020	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12020	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
12020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
12020	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
12020	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
12020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12020	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
12021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12021	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
12021	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
12021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
12021	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
12021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12021	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
12031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12031	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12031	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12031	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12031	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	1
12031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12031	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12031	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
12031	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12031	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12031	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12032	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12032	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
12032	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
12032	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12032	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
12032	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
12032	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12032	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12032	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
12032	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12032	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12032	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12032	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12032	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
12032	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
12032	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12032	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
12032	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12034	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12034	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12034	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12034	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12034	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12034	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12034	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	1
12034	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12034	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
12034	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12034	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12034	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12034	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12035	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12035	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
12035	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12035	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
12035	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12035	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
12035	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
12035	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12035	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
12035	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
12035	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12035	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12035	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12035	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
12035	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
12035	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12035	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12035	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12035	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12035	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
12035	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12035	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
12035	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12036	Mar03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12036	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12036	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12036	Mar03 6	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
12036	Mar03 6	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
12036	Mar03 6	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
12036	Mar03 6	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12036	Mar03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12036	Mar03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12036	Mar03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12036	Mar03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12036	Mar03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12036	Mar03 6	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12036	Mar03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12036	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12036	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
12036	Mar03 6	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12036	Mar03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
12036	Mar03 6	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
12036	Mar03 6	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
12037	Mar03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12037	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12037	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12037	Mar03 6	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
12037	Mar03 6	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
12037	Mar03 6	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
12037	Mar03 6	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12037	Mar03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12037	Mar03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12037	Mar03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12037	Mar03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12037	Mar03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12037	Mar03 6	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12037	Mar03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12037	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12037	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
12037	Mar03 6	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12037	Mar03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
12037	Mar03 6	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
12037	Mar03 6	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
12041	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
12041	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12041	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12041	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12041	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12041	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12041	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12041	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12041	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12041	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12041	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12041	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12041	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12041	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
12041	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12041	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12042	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12042	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12042	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12042	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12042	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12042	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12042	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12042	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12042	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12042	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12042	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12042	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12042	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12042	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12042	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12042	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12042	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	1
12042	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12042	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12042	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12042	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12042	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12042	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
12042	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12042	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12042	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12042	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12044	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12044	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12044	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12044	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12044	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12044	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12044	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12044	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12044	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12044	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12044	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12044	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12044	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12044	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12044	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12044	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12044	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	1
12044	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
12044	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
12044	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12044	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12044	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
12044	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12044	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12044	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12044	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12044	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
12045	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
12045	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12045	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12045	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12045	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12045	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12045	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
12045	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12045	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
12045	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
12045	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
12046	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
12046	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
12046	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12046	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	2
12046	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12046	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
12046	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
12046	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12046	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
12046	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	6	2
12046	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12046	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12046	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12046	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
12046	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
12046	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
12046	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12046	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12046	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12046	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
12046	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12046	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
12046	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12047	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
12047	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
12047	CPT12 5 Year	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12047	CPT12 5 Year	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	2
12047	CPT12 5 Year	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12047	CPT12 5 Year	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
12047	CPT12 5 Year	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
12047	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12047	CPT12 5 Year	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
12047	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	6	2
12047	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12047	CPT12 5 Year	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12047	CPT12 5 Year	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12047	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
12047	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
12047	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
12047	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12047	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12047	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
12047	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
12047	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12047	CPT12 5 Year	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
12047	CPT12 5 Year	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12051	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12051	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12051	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12051	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12051	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12051	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12051	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12051	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12051	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12051	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12051	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12051	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12051	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12051	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12051	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12051	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12051	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12051	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12051	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12051	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12051	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12051	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12051	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
12051	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12051	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12051	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12051	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12052	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12052	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12052	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12052	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12052	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12052	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12052	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12052	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12052	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12052	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12052	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12052	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12052	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12052	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12052	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12052	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12052	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12052	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
12052	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
12052	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
12052	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
12052	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
12052	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
12052	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
12052	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12052	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12052	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12053	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12053	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
12053	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12053	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12053	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12053	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12053	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12053	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12053	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12053	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12053	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12053	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12053	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12053	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12053	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12053	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12053	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12053	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
12053	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
12053	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12053	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12053	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
12053	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12053	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12053	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12053	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12053	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12054	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12054	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
12054	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12054	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12054	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12054	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12054	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12054	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12054	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12054	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12054	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12054	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12054	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12054	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12054	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12054	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12054	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12054	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
12054	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
12054	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12054	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12054	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
12054	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12054	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12054	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12054	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12054	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12055	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
12055	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	2
12055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12055	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12055	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12055	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12055	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12055	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12055	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12055	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12055	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12055	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12055	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12055	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	3	0
12055	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
12055	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
12055	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12055	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
12055	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
12055	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
12055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
12055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12055	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12056	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
12056	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
12056	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12056	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12056	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12056	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12056	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12056	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12056	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12056	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12056	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12056	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12056	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12056	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12056	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12056	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12056	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	3	0
12056	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
12056	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	3	0
12056	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12056	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
12056	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
12056	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	0
12056	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12056	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12056	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
12057	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
12057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
12057	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	2
12057	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
12057	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
12057	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
12057	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
12057	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
12057	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
12057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
12057	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
12057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
12057	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
12057	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
12057	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
12057	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
12057	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
12057	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	4	0
12057	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
12057	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	3	0
12057	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
12057	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
12057	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
12057	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	0
12057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
12057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
12057	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13100	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13100	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13100	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13100	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13100	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13100	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13100	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13100	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13100	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
13100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13100	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
13100	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
13100	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13100	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13100	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13101	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13101	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13101	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13101	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	2
13101	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13101	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	1
13101	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13101	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13101	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13101	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
13101	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	1
13101	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	1
13101	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	2
13101	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13101	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	3	0
13101	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
13101	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13101	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13101	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13101	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13101	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
13101	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
13101	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13101	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
13101	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
13101	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
13101	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13101	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
13101	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
13101	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
13101	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
13101	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	1
13101	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13101	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13102	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13102	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13102	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13102	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13102	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13102	CPT13 May 41	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13102	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13102	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13102	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13102	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13102	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
13120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13120	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	2
13120	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	1
13120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13120	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13120	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
13120	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	1
13120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	1
13120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	2
13120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13120	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13120	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13120	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13120	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
13120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13120	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
13120	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13120	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13120	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
13120	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	1
13120	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13120	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13121	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13121	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13121	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13121	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13121	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13121	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13121	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13121	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13121	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13121	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13121	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13121	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13121	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13121	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13121	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	3	0
13121	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
13121	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13121	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13121	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13121	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13121	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
13121	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
13121	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13121	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
13121	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
13121	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
13121	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13121	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
13121	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
13121	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
13121	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
13121	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13121	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13121	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13122	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13122	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13122	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13122	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13122	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13122	CPT13 May 41	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13122	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13122	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13122	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13122	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13122	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
13131	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13131	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13131	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13131	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13131	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13131	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13131	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13131	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13131	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13131	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13131	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13131	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13131	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13131	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13131	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13131	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13131	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13131	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13131	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13131	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13131	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13131	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13131	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13131	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
13131	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
13131	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13131	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
13131	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13131	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13131	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13131	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
13131	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13131	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13131	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13132	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13132	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13132	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13132	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13132	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13132	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13132	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13132	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13132	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13132	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13132	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13132	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13132	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13132	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	3	0
13132	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
13132	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13132	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13132	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13132	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13132	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
13132	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
13132	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13132	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
13132	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
13132	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
13132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13132	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
13132	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
13132	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
13132	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
13132	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13132	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13132	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13133	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13133	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13133	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13133	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13133	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13133	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13133	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13133	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13133	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13133	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
13151	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13151	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13151	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13151	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13151	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13151	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13151	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13151	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13151	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13151	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13151	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13151	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13151	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13151	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13151	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13151	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13151	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13151	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13151	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
13151	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13151	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13151	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13151	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13151	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
13151	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13151	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
13151	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
13151	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13151	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13151	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13151	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
13151	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13151	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13151	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13152	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
13152	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
13152	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
13152	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
13152	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13152	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
13152	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
13152	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
13152	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
13152	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
13152	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
13152	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
13152	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
13152	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	3	0
13152	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
13152	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
13152	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
13152	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13152	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
13152	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
13152	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
13152	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
13152	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
13152	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
13152	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13152	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
13152	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
13152	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
13152	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
13152	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
13152	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
13152	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
13153	CPT13 May 41	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
13153	CPT13 May 41	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
13153	CPT13 May 41	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
13153	CPT13 May 41	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
13153	CPT13 May 41	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
13153	CPT13 May 41	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
13153	CPT13 May 41	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
13153	CPT13 May 41	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
13153	CPT13 May 41	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
13153	CPT13 May 41	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
13153	CPT13 May 41	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
13160	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
13160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
13160	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
13160	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
13160	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
13160	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
14000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
14000	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14000	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
14000	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14000	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14000	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14000	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
14000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
14000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14000	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14000	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14000	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
14000	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14000	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14000	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
14000	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
14000	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
14000	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14000	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
14000	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14000	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
14001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14001	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14001	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
14001	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14001	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14001	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14001	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
14001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
14001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14001	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14001	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14001	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
14001	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14001	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14001	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
14001	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
14001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
14001	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14001	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
14001	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14001	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
14020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14020	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14020	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14020	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
14020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14020	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14020	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14020	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
14020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
14020	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14020	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14020	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14020	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
14020	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14020	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
14020	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
14020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
14020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
14020	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14020	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14020	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
14021	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14021	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14021	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14021	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14021	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14021	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
14021	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14021	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14021	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14021	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14021	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14021	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
14021	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
14021	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14021	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14021	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14021	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
14021	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14021	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14021	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
14021	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
14021	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
14021	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14021	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
14021	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14021	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14021	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
14021	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14021	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
14040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	4
14040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14040	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
14040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14040	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14040	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14040	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14040	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
14040	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14040	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
14040	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
14040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
14040	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14040	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
14040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14040	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14040	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
14040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14041	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
14041	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14041	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
14041	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14041	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14041	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
14041	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
14041	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14041	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	6	0
14041	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14041	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14041	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14041	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
14041	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
14041	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14041	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14041	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
14041	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
14041	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
14041	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
14041	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
14041	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
14041	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
14041	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14060	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14060	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
14060	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
14060	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
14060	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
14060	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14060	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14060	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
14060	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
14060	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14060	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14060	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
14060	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
14060	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
14060	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
14060	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
14060	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
14060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
14060	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
14060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14061	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
14061	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
14061	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
14061	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14061	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
14061	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
14061	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
14061	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14061	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	6	0
14061	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
14061	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14061	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
14061	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
14061	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
14061	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
14061	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
14061	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
14061	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	1
14061	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
14061	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
14061	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
14061	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	40	0
14061	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
14061	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14301	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
14301	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
14301	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
14301	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
14301	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
14301	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
14301	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
14301	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
14301	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
14301	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
14301	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
14301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	5	0
14301	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	5	0
14301	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	5	0
14301	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	1	0
14301	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
14301	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
14301	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
14301	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
14301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
14301	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
14301	CMS	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598	1	0
14301	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
14301	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
14301	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
14301	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
14301	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
14301	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
14301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
14301	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
14301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
14301	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
14301	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
14301	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
14350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
14350	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
14350	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		5
14350	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
14350	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
15002	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15002	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15002	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
15002	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15002	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15002	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15002	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15002	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
15002	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15002	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15002	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15002	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15002	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
15002	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15002	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15002	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15002	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15003	CPT07	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15003	CPT07	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15003	CPT07	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15003	CPT07	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15003	CPT07	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15003	CPT07	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15003	CPT07	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15004	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15004	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15004	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15004	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
15004	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15004	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15004	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15004	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15004	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
15004	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15004	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15004	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15004	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15004	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
15004	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15004	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15004	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15004	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15004	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15004	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15005	CPT07	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15005	CPT07	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15005	CPT07	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15005	CPT07	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15005	CPT07	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15005	CPT07	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15005	CPT07	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15040	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
15040	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15040	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15040	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15040	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15040	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15040	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15040	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15040	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15040	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15040	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15040	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15040	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15040	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15040	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15040	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
15040	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	0
15040	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
15040	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15040	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15040	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15040	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15040	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15040	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15050	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15050	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15050	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15050	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15050	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15050	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15050	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15050	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15050	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15050	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15050	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	11.2677	1	0
15050	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15050	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	5	4
15050	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15050	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15050	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15050	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15100	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15100	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15100	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15100	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15100	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15100	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15100	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15100	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15100	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15100	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15101	Jan02 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15101	Jan02 10	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15101	Jan02 10	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15101	Jan02 10	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15101	Jan02 10	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	4	0
15101	Jan02 10	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15101	Jan02 10	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	4	2
15101	Jan02 10	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
15101	Jan02 10	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3	3
15101	Jan02 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15101	Jan02 10	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15101	Jan02 10	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15101	Jan02 10	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15101	Jan02 10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15101	Jan02 10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15110	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15110	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15110	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15110	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15110	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15110	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15110	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15110	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15110	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15110	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15110	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15110	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15110	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15110	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15110	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15110	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15110	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15110	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15110	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15110	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15110	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15110	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15110	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15110	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15115	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15115	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15115	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15115	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15115	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15115	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15115	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15115	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15115	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15115	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15115	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15115	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15115	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15115	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15115	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15115	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15115	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15115	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15115	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15115	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15115	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15115	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15115	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15115	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15120	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15120	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15120	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15120	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15120	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15120	CMS	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15120	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15120	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15120	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15120	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15120	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	2
15120	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
15120	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	3
15120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15120	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15121	CPT12 5 Year	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15121	CPT12 5 Year	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15121	CPT12 5 Year	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	4	0
15121	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15121	CPT12 5 Year	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	4	2
15121	CPT12 5 Year	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
15121	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3	3
15121	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15121	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15121	CPT12 5 Year	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15121	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15130	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15130	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15130	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15130	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15130	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15130	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15130	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15130	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15130	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15130	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15130	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15130	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15130	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15130	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15130	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15130	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15130	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15130	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15130	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15130	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15130	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15130	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15130	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15130	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15135	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15135	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15135	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15135	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15135	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15135	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15135	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15135	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15135	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	8	0
15135	RUC05	"Cutters, Closures, Cautery"	SF003	"blade, dermatome"	item	20.135	1	0
15135	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15135	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15135	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	6	0
15135	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15135	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15135	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15135	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15135	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15135	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15135	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	40	0
15135	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15135	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15135	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15135	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15150	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15150	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15150	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15150	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15150	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15150	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15150	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15150	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15150	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
15150	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15150	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15150	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15150	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15150	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15150	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15150	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15150	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15150	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15150	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15150	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15150	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15150	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15150	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15151	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15152	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15155	RUC05	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15155	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15155	RUC05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15155	RUC05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
15155	RUC05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
15155	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15155	RUC05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15155	RUC05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15155	RUC05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
15155	RUC05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15155	RUC05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15155	RUC05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15155	RUC05	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15155	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15155	RUC05	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	1
15155	RUC05	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	2
15155	RUC05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	4
15155	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15155	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15155	RUC05	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15155	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15155	RUC05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15155	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15156	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15157	RUC05	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
15200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15200	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15200	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15200	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15200	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	4	0
15200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15200	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	11.2677	1	0
15200	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4.5	3.5
15200	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15200	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15201	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15201	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15201	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15201	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
15201	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
15201	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
15201	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
15201	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15201	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15201	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15201	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15220	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
15220	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15220	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15220	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15220	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	4	0
15220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15220	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	11.2677	1	0
15220	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15220	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	5.5	4.5
15220	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15220	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15220	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15221	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15221	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15221	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15221	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
15221	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
15221	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
15221	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
15221	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15221	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15221	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15221	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15240	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
15240	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15240	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15240	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15240	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15240	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15240	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15240	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15240	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15240	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	11.2677	1	0
15240	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15240	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	7	6
15240	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15240	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15240	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15240	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15241	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15241	Mar04 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15241	Mar04 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15241	Mar04 P	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
15241	Mar04 P	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
15241	Mar04 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
15241	Mar04 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
15241	Mar04 P	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15241	Mar04 P	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15241	Mar04 P	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15241	Mar04 P	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
15260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15260	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15260	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15260	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15260	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15260	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15260	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15260	CMS	"Cutters, Closures, Cautery"	SF048	"suture, monocryl, 3-0 to 6-0, p, ps"	item	11.2677	1	0
15260	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15260	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	6	5
15260	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15260	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15260	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15261	Jan02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15261	Jan02	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15261	Jan02	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15261	Jan02	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15261	Jan02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
15261	Jan02	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15261	Jan02	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15261	Jan02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15261	Jan02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	2
15261	Jan02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
15261	Jan02	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15261	Jan02	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	1
15261	Jan02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15261	Jan02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15261	Jan02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
15271	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15271	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
15271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15271	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
15271	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
15271	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
15271	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
15271	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
15271	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15271	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
15271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	10	0
15271	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15271	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
15271	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
15272	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
15272	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15273	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15273	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
15273	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
15273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15273	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
15273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
15273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15273	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
15273	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15273	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15273	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15273	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15274	CPT12 May 1	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
15274	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
15274	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15274	CPT12 May 1	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15275	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15275	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15275	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
15275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15275	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15275	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
15275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
15275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
15275	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
15275	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
15275	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15275	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
15275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15275	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	10	0
15275	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15275	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
15275	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
15276	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
15276	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15277	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15277	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15277	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
15277	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15277	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
15277	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15277	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15277	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15277	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15277	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
15277	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
15277	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15277	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
15277	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15277	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15277	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15277	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
15277	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	5	0
15277	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15277	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15277	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15278	CPT12 May 1	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
15278	CPT12 May 1	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
15278	CPT12 May 1	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15278	CPT12 May 1	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15570	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15570	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15570	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15570	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15570	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15570	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15570	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15570	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15570	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15570	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15570	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15570	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15570	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
15570	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
15570	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15570	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4	3
15570	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15570	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15570	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15570	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15572	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15572	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15572	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15572	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15572	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15572	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15572	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15572	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15572	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15572	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15572	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15572	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15572	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15572	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15572	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15572	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4	3
15572	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15572	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15572	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15572	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15574	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
15574	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15574	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15574	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15574	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15574	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15574	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15574	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15574	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15574	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15574	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15574	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15574	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15574	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15574	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15574	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	5	4
15574	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15574	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15574	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15574	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15576	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
15576	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15576	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15576	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15576	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15576	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15576	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15576	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15576	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15576	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15576	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15576	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15576	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15576	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15576	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4	3
15576	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15576	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15576	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15576	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
15600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15600	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15600	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15600	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15600	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15600	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15600	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15600	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15600	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3	2
15600	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15600	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15600	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15610	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
15610	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15610	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15610	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15610	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15610	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15610	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15610	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15610	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15610	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15610	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15610	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15610	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15610	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15610	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3	2
15610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15610	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15610	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15610	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15620	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15620	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15620	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15620	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15620	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15620	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15620	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15620	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15620	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3.5	2.5
15620	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15620	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15620	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15630	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15630	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15630	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15630	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15630	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15630	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15630	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15630	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15630	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15630	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15630	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15630	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15630	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15630	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15630	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15630	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15630	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3.5	2.5
15630	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15630	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15630	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15630	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15650	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15650	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	3.5	2.5
15650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15730	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
15730	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	4
15730	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15730	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15730	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15730	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15730	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15730	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	2	0
15730	RUC	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	222.2075	1	0
15730	RUC	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	4	0
15730	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15730	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15730	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15730	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15730	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	4	2
15730	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15730	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	1
15730	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	2
15730	RUC	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
15730	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
15730	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15730	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	10	0
15730	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15730	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	1
15730	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15730	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15730	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15731	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15731	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
15731	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15731	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15731	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15731	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15731	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
15731	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15731	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
15731	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15731	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15731	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15731	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15731	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15731	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15731	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15731	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
15731	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15731	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
15731	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
15731	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15731	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15731	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15731	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15731	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
15733	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
15733	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
15733	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
15733	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
15733	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
15733	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
15733	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
15733	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
15733	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
15733	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278		1
15734	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15734	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
15734	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
15734	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15734	RUC	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		2
15734	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		2
15734	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
15736	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15736	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15736	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
15736	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
15736	RUC	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		6
15736	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		4
15736	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		2
15736	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		4
15736	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
15736	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		192
15736	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
15736	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285		2
15738	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15738	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15738	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
15738	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
15738	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		4
15738	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542		4
15738	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		8
15738	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		2
15738	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		6
15738	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
15738	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		192
15738	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
15738	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285		2
15740	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15740	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
15740	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15740	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15740	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15740	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15740	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
15740	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15740	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15740	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15740	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15740	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15740	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15740	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15740	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15740	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15740	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15740	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
15740	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15740	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4	3
15740	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15740	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
15740	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
15740	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15740	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15740	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	1
15740	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
15740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15740	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
15740	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15740	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15750	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
15750	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
15750	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		5
15750	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
15750	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
15756	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15756	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		7
15756	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		7
15756	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
15756	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		70
15757	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15757	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15757	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		7
15757	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		7
15757	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
15757	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		70
15758	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15758	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15758	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		7
15758	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		7
15758	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
15758	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		70
15760	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15760	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
15760	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15760	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15760	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15760	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15760	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15760	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15760	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15760	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15760	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15760	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15760	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15760	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15760	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15760	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4.5	3.5
15760	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15760	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15760	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15760	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15770	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15770	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
15770	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		5
15770	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
15770	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
15775	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15775	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
15775	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
15775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
15775	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
15775	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15775	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
15775	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
15775	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
15775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
15775	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
15775	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
15775	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15775	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15775	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15775	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
15775	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15775	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15775	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
15775	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
15775	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
15775	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15775	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15775	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
15776	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15776	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
15776	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
15776	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
15776	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
15776	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
15776	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15776	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
15776	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
15776	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
15776	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
15776	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
15776	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
15776	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15776	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15776	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
15776	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	2	0
15776	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
15776	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
15776	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15776	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
15776	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15776	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	3	0
15776	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15776	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15776	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
15780	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
15780	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15780	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15780	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15780	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15780	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15780	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	6	3
15780	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	2
15780	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	16	8
15780	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	16	0
15780	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
15780	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	0
15780	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
15781	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15781	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15781	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15781	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15781	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15781	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
15781	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15781	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	6	3
15781	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15781	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15781	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
15781	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15782	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15782	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15782	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15782	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15782	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15782	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15782	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
15782	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15782	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	24	12
15782	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15782	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
15782	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	0
15782	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15783	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15783	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15783	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15783	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15783	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15783	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15783	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	1
15783	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15783	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	6	3
15783	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15783	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15783	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
15783	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15786	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
15786	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15786	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15786	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15786	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15786	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15786	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15786	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	4	0
15786	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15786	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15786	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15786	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15787	Mar04 P	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15787	Mar04 P	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
15787	Mar04 P	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	4	0
15787	Mar04 P	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15787	Mar04 P	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15787	Mar04 P	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15788	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15788	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15788	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15788	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15788	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15788	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	2
15788	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	16	8
15788	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15788	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15788	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.2522	1	0
15788	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	16	0
15788	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
15788	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	0
15788	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	0
15788	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
15789	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15789	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15789	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15789	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15789	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	6	3
15789	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15789	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15789	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.2215	1	0
15789	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15789	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15789	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
15789	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	0
15789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15792	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
15792	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15792	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15792	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15792	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15792	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15792	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15792	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	24	12
15792	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15792	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15792	CMS	"Pharmacy, Rx"	SH083	Jessner's soln	ml	0.2522	1	0
15792	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15792	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
15792	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	0
15792	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	0
15792	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15793	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
15793	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15793	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15793	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15793	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
15793	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15793	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	2
15793	CMS	"Wound Care, Dressings"	SG038	"dressing, 4in x 4in (Vigilon)"	item	3.5958	6	3
15793	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
15793	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15793	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.2215	1	0
15793	CMS	"Pharmacy, Rx"	SH089	skin refrigerant-anesthetic spray (Frigiderm)	oz	5.215	8	0
15793	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
15793	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
15793	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	0
15793	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15819	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15819	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15819	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15819	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15819	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15820	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
15820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15820	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
15820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	22	6
15820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	1
15820	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
15820	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
15820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	30	0
15820	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
15820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	20
15820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	20
15821	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
15821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15821	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
15821	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	22	6
15821	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	1
15821	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
15821	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
15821	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	30	0
15821	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
15821	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	20
15821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	20
15822	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
15822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15822	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
15822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	22	6
15822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	1
15822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
15822	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
15822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	30	0
15822	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
15822	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	20
15822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	20
15823	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	5	4
15823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
15823	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
15823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	22	6
15823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	1
15823	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
15823	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
15823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	30	0
15823	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
15823	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	20
15823	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	20
15830	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15830	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
15832	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15832	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15832	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15832	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15832	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15833	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15833	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15833	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15833	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15833	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15833	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15834	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15834	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15834	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15834	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15834	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15835	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15835	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
15836	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15836	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15836	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15836	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15836	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15837	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15837	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
15837	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15837	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15837	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15837	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15837	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15837	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15837	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15837	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15837	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15837	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15837	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15837	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15837	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15837	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15837	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4.5	3.5
15837	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15837	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15837	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15837	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15838	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15838	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15838	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15838	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15838	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15839	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
15839	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
15839	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
15839	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15839	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15839	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
15839	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
15839	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
15839	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
15839	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15839	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
15839	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
15839	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15839	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
15839	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
15839	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
15839	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4.5	3.5
15839	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
15839	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
15839	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
15839	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
15840	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15840	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15840	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15840	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15840	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15841	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15841	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15841	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15841	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15841	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15842	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
15842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
15842	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		7
15842	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		7
15842	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
15842	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		70
15845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15845	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
15845	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
15845	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
15845	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
15845	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
15850		"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15850		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15850		"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15850		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
15850		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15850		"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
15850		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
15850		"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15850		"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15850		"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15850		"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
15850		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15850		"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	6	0
15850		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15850		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
15850		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15850		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15850		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
15850		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15851	Feb05	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
15851	Feb05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
15851	Feb05	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
15851	Feb05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
15851	Feb05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
15851	Feb05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
15851	Feb05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
15851	Feb05	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
15851	Feb05	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
15851	Feb05	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
15851	Feb05	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
15851	Feb05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
15851	Feb05	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	6	0
15851	Feb05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
15851	Feb05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
15851	Feb05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
15851	Feb05	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
15851	Feb05	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
15851	Feb05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
15920	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
15920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15920	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
15920	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		5
15920	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
15920	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
15920	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
15922	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15922	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15922	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15922	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15922	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15931	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15931	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15931	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15931	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15931	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
15931	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15933	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		6
15933	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15933	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15933	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15933	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15933	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
15933	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15934	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15934	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15934	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15934	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15934	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15934	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15935	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
15935	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15935	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15935	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15935	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15936	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15936	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15936	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15936	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15936	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15936	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15937	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15937	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
15937	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15937	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15937	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15937	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15940	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		3
15940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
15940	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
15940	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
15940	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
15940	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
15940	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
15941	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		6
15941	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15941	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15941	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15941	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15941	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
15941	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15944	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15944	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15944	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15944	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15944	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15944	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15945	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15945	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15945	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15945	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15945	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15945	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15946	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15946	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15946	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15946	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15946	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15946	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15950	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
15950	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15950	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15950	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15950	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
15950	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15951	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		6
15951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15951	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15951	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15951	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15951	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
15951	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15952	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
15952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15952	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
15952	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
15952	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
15952	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
15953	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15953	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
15953	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15953	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15953	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15953	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15956	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15956	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
15956	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15956	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15956	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15956	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
15958	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
15958	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
15958	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
15958	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		6
15958	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
15958	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
16000	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
16000	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
16000	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
16000	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
16000	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
16000	Sep02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
16000	Sep02	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
16000	Sep02	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
16000	Sep02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
16000	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
16000	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	6	0
16000	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
16000	Sep02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
16000	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
16000	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
16000	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
16000	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
16020	RUC	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.9155	1	0
16020	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
16020	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
16020	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
16020	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
16020	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
16020	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
16020	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
16020	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
16020	RUC	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.1857	1	0
16020	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
16025	RUC05	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.9155	1	0
16025	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
16025	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
16025	RUC05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
16025	RUC05	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
16025	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	0
16025	RUC05	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	0
16025	RUC05	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
16025	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
16025	RUC05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
16025	RUC05	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.1857	1	0
16025	RUC05	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
16025	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
16030	RUC05	"Kit, Pack, Tray"	SA029	"kit, sharp debridement"	kit	4.9155	1	0
16030	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
16030	RUC05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
16030	RUC05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
16030	RUC05	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
16030	RUC05	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	4	0
16030	RUC05	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	8	0
16030	RUC05	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	0
16030	RUC05	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	48	0
16030	RUC05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
16030	RUC05	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.1857	1	0
16030	RUC05	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	0
16030	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
17000	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
17000	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	8	0
17000	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	1	0
17000	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17003	CPT14 May 30	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	8	0
17003	CPT14 May 30	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	1	0
17003	CPT14 May 30	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17004	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
17004	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
17004	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	90	0
17004	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	15	0
17004	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	0
17106	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
17106	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17106	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17106	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17106	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17106	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17106	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17106	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17106	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17106	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17106	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
17106	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17106	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17106	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17106	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
17107	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17107	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17107	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17107	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17107	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17107	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17107	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17107	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17107	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17107	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17107	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17107	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17107	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17107	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17108	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
17108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17108	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17108	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17108	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
17108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17108	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17108	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17108	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17108	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17108	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17108	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17108	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17110	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17110	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17110	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17110	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17110	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
17110	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17110	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17110	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17110	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17110	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17110	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17110	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17110	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17110	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17110	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17110	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17110	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17111	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17111	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17111	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17111	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17111	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17111	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17111	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
17111	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	40	0
17111	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17111	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17111	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17111	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17111	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17111	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17111	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17111	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17111	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17111	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17111	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17111	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17250	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17250	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
17250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17250	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17250	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	5	0
17250	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17250	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17250	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17250	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17250	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17250	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17250	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17250	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	5	0
17250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
17260	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17260	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17260	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17260	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17260	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17260	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17260	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17260	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17260	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17260	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17260	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17260	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
17260	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17260	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17260	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17260	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17260	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17261	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17261	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17261	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17261	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17261	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17261	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17261	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17261	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17261	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17261	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17261	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17261	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17261	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17261	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17261	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17261	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17261	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17261	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17262	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17262	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17262	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17262	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17262	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17262	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17262	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
17262	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17262	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17262	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17262	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17262	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17262	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17262	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17262	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17262	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17262	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17262	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17262	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17262	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17262	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17263	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17263	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17263	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17263	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17263	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17263	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17263	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
17263	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17263	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17263	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17263	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17263	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17263	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17263	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17263	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17263	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17263	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17263	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17263	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17263	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17263	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17264	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17264	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17264	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17264	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17264	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17264	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17264	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
17264	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	40	0
17264	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17264	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17264	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17264	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17264	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17264	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17264	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17264	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17264	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17264	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17264	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17264	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17264	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17266	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17266	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17266	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17266	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17266	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17266	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17266	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	5	0
17266	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	80	0
17266	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17266	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17266	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17266	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17266	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17266	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17266	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17266	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17266	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17266	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17266	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17266	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17266	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17270	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17270	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17270	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17270	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17270	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17270	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17270	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17270	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17270	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17270	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17270	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17270	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17270	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17270	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
17270	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17270	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17270	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17270	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17270	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17271	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17271	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17271	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17271	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17271	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17271	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17271	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17271	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17271	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17271	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17271	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17271	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17271	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17271	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17271	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17271	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17271	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17271	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17271	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17271	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17272	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17272	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17272	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17272	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
17272	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17272	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17272	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17272	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17272	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17272	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17272	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17272	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17272	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17272	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17272	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17272	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17272	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17272	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17273	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17273	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17273	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
17273	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17273	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17273	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17273	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17273	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17273	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17273	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17273	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17273	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17273	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17273	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17273	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17273	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17274	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17274	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17274	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17274	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17274	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17274	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17274	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
17274	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	40	0
17274	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17274	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17274	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17274	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17274	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17274	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17274	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17274	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17274	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17274	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17274	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17274	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17274	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17276	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17276	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17276	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17276	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17276	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17276	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17276	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	5	0
17276	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	80	0
17276	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17276	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17276	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17276	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17276	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17276	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17276	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17276	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17276	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17276	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17276	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17276	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17276	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17280	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17280	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17280	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17280	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17280	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17280	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17280	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17280	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17280	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17280	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17280	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17280	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17280	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
17280	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17280	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17280	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17280	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17281	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17281	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17281	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17281	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
17281	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17281	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17281	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17281	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17281	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
17281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17281	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17281	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17281	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17281	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17282	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17282	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17282	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17282	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17282	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17282	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	2	0
17282	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17282	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17282	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17282	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17282	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17282	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
17282	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17282	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17282	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17282	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17282	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17283	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17283	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17283	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17283	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	3	0
17283	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	27	0
17283	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17283	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17283	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17283	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17283	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
17283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17283	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	2	0
17283	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17283	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17283	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17284	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17284	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17284	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17284	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17284	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	4	0
17284	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	40	0
17284	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17284	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17284	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17284	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17284	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17284	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17284	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17284	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17284	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17284	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17284	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17284	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17284	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17286	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
17286	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17286	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17286	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17286	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	5	0
17286	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	80	0
17286	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
17286	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17286	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
17286	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17286	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17286	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17286	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
17286	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17286	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	3	0
17286	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17286	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
17286	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
17286	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17311	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
17311	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17311	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
17311	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17311	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
17311	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
17311	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
17311	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17311	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
17311	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
17311	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
17311	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
17311	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
17311	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
17311	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17311	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
17311	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	3	0
17311	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
17311	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	0
17311	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	30	0
17311	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
17311	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17311	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17311	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	2	0
17311	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
17311	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17311	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0
17311	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	8	0
17311	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17311	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	0.4	0
17311	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17311	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17311	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
17311	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	2.1875	1	0
17311	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.0138	1	0
17311	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
17311	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
17311	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
17311	CMS	Lab	SL030	"cover slip, glass"	item	0.079	10	0
17311	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	1	0
17311	CMS	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
17311	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.08	8	0
17311	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	5.934	1	0
17311	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	10	0
17311	CMS	Lab	SL470	Marking Dyes	ml	0.4092	12	0
17311	CMS	Lab	SL473	"Slide, charged"	item	0.2505	10	0
17311	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
17312	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
17312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17312	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
17312	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17312	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
17312	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
17312	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
17312	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17312	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17312	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
17312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
17312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
17312	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
17312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
17312	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17312	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
17312	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
17312	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
17312	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
17312	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	2	0
17312	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
17312	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	0
17312	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	20	0
17312	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
17312	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17312	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17312	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	2	0
17312	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
17312	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
17312	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0
17312	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	8	0
17312	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17312	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	0.4	0
17312	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17312	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17312	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
17312	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	2.1875	1	0
17312	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
17312	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
17312	CMS	Lab	SL030	"cover slip, glass"	item	0.079	6	0
17312	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.6	0
17312	CMS	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
17312	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.08	6	0
17312	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	6	0
17312	CMS	Lab	SL470	Marking Dyes	ml	0.4092	9	0
17312	CMS	Lab	SL473	"Slide, charged"	item	0.2505	6	0
17312	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
17313	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
17313	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17313	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
17313	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17313	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
17313	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
17313	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
17313	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17313	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
17313	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
17313	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
17313	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
17313	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
17313	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
17313	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17313	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
17313	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	3	0
17313	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
17313	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	0
17313	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	30	0
17313	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
17313	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17313	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17313	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
17313	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0
17313	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	10	0
17313	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17313	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	0.4	0
17313	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17313	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17313	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
17313	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	2.1875	1	0
17313	CMS	"Office Supply, Grocery"	SK047	"map, Moh's surgery (per sheet)"	item	0.0138	1	0
17313	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
17313	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
17313	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
17313	CMS	Lab	SL030	"cover slip, glass"	item	0.079	10	0
17313	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	1	0
17313	CMS	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
17313	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.08	8	0
17313	CMS	Lab	SL120	slide container (for 20 microscope slides)	item	5.934	1	0
17313	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	10	0
17313	CMS	Lab	SL470	Marking Dyes	ml	0.4092	12	0
17313	CMS	Lab	SL473	"Slide, charged"	item	0.2505	10	0
17313	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
17314	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
17314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
17314	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
17314	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17314	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
17314	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
17314	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
17314	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
17314	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17314	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
17314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
17314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
17314	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
17314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
17314	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17314	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
17314	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
17314	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
17314	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
17314	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	2	0
17314	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
17314	CMS	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	0
17314	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	20	0
17314	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
17314	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
17314	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
17314	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
17314	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	60	0
17314	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	8	0
17314	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
17314	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	0.4	0
17314	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
17314	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
17314	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
17314	CMS	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	2.1875	1	0
17314	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
17314	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
17314	CMS	Lab	SL030	"cover slip, glass"	item	0.079	6	0
17314	CMS	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.6	0
17314	CMS	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
17314	CMS	Lab	SL097	OCT Tissue-Tek	ml	0.08	6	0
17314	CMS	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	6	0
17314	CMS	Lab	SL470	Marking Dyes	ml	0.4092	9	0
17314	CMS	Lab	SL473	"Slide, charged"	item	0.2505	6	0
17314	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
17315	CPT14 May 31	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	20	0
17315	CPT14 May 31	Lab	SL030	"cover slip, glass"	item	0.079	2	0
17315	CPT14 May 31	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	0
17315	CPT14 May 31	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
17315	CPT14 May 31	Lab	SL097	OCT Tissue-Tek	ml	0.08	1	0
17315	CPT14 May 31	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	2	0
17315	CPT14 May 31	Lab	SL470	Marking Dyes	ml	0.4092	3	0
17315	CPT14 May 31	Lab	SL473	"Slide, charged"	item	0.2505	2	0
17360	Feb05 G	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
17360	Feb05 G	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
17360	Feb05 G	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
17360	Feb05 G	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
17360	Feb05 G	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
17360	Feb05 G	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
17360	Feb05 G	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
17360	Feb05 G	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	1	0
17360	Feb05 G	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
17360	Feb05 G	"Pharmacy, NonRx"	SJ072	"brush, disposable applicator"	item	0.312	1	0
17360	Feb05 G	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.045	1	0
17360	Feb05 G	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
17360	Feb05 G	Lab	SL193	"glycolic acid, 20-50%"	ml	0.202	1	0
17360	Feb05 G	Lab	SL200	"sodium bicarbonate spray, 8 oz"	item	10.4375	1	0
17360	Feb05 G	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
19000	Feb05 O	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
19000	Feb05 O	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
19000	Feb05 O	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
19000	Feb05 O	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
19000	Feb05 O	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
19000	Feb05 O	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
19000	Feb05 O	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19000	Feb05 O	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
19000	Feb05 O	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
19000	Feb05 O	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
19000	Feb05 O	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
19000	Feb05 O	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19000	Feb05 O	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19000	Feb05 O	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
19001	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
19001	Mar04 R	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19001	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
19001	Mar04 R	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
19001	Mar04 R	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19020	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
19020	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
19020	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
19020	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19020	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
19020	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
19020	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
19020	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	5	0
19020	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
19020	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19020	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
19020	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19020	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
19020	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	2	1
19020	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
19020	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19020	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
19020	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
19020	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19020	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19020	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
19020	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19020	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
19020	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19020	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	1
19020	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	2	1
19020	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
19020	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
19020	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19020	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19020	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
19030	Mar04 R	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
19030	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19030	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
19030	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19030	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19030	Mar04 R	"Hypodermic, IV"	SC047	sialography infusion unit	item	27.4275	1	0
19030	Mar04 R	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
19030	Mar04 R	"Accessory, Procedure"	SD042	"dilator, ductal, galactography"	item	8.57	1	0
19030	Mar04 R	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
19030	Mar04 R	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
19030	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
19030	Mar04 R	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
19081	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19081	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19081	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19081	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19081	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19081	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
19081	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19081	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19081	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19081	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19081	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19081	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19081	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19081	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19081	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19081	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
19081	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19081	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19081	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19081	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19081	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19081	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19081	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19081	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19081	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19081	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19081	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19081	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19081	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	0
19081	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19081	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
19082	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19082	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19082	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19082	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19082	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19082	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19082	CPT14 May 2	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19082	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19082	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19082	CPT14 May 2	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19082	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19082	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19082	CPT14 May 2	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
19082	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19082	CPT14 May 2	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19082	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19082	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19082	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19082	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19082	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19082	CPT14 May 2	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19082	CPT14 May 2	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19082	CPT14 May 2	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	0
19082	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19082	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
19083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
19083	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
19083	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19083	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19083	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19083	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19083	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0
19083	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
19083	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19083	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19083	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19083	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19083	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19083	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19083	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19083	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19083	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19083	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19083	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19083	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19083	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19083	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19083	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19083	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
19083	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19083	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19083	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
19083	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19083	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
19083	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19084	CPT14 May 2	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
19084	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19084	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19084	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19084	CPT14 May 2	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0
19084	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19084	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19084	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19084	CPT14 May 2	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19084	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19084	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19084	CPT14 May 2	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19084	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19084	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19084	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19084	CPT14 May 2	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19084	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19084	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19084	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19084	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19084	CPT14 May 2	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
19084	CPT14 May 2	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19084	CPT14 May 2	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19084	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19084	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19085	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19085	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19085	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19085	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19085	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
19085	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19085	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19085	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19085	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19085	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19085	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19085	CMS	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19085	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19085	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19085	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19085	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19085	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19085	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19085	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19085	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19085	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19085	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19085	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19085	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19085	CMS	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19085	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19086	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19086	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19086	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19086	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19086	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19086	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19086	CPT14 May 2	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	1	0
19086	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19086	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19086	CPT14 May 2	"Accessory, Procedure"	SD135	"tubing, vacuum (for Mammotome device)"	item	16.0225	1	0
19086	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19086	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19086	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19086	CPT14 May 2	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19086	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19086	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
19086	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
19086	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19086	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19086	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19086	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19086	CPT14 May 2	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19086	CPT14 May 2	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	1	0
19086	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19100	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
19100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
19100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19100	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
19100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
19100	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19100	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	9.0638	1	0
19100	RUC	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	29.615	1	0
19100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
19100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	90	0
19100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19101	Oct00	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
19101	Oct00	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
19101	Oct00	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
19101	Oct00	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
19101	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
19101	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
19101	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19101	Oct00	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
19101	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
19101	Oct00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19101	Oct00	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19101	Oct00	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
19101	Oct00	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
19101	Oct00	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
19101	Oct00	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
19101	Oct00	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19101	Oct00	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19101	Oct00	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
19101	Oct00	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19101	Oct00	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19101	Oct00	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	4
19101	Oct00	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598	7	0
19101	Oct00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19101	Oct00	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19101	Oct00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	186	60
19101	Oct00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
19101	Oct00	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	15
19105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
19105	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
19105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19105	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	2	0
19105	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
19105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
19105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
19105	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
19105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19105	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
19105	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.6825	55	0
19105	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.3725	144	0
19105	CMS	"Accessory, Procedure"	SD232	"probe, cryoablation (Visica ICE 30 or 40)"	item	1534.78	1	0
19105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
19105	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
19105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19105	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
19105	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19105	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
19105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
19105	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19105	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	50	0
19105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
19105	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
19105	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
19105	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
19105	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19110	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
19110	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
19110	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
19110	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19110	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
19110	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
19110	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
19110	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	5	0
19110	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
19110	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19110	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
19110	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19110	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
19110	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19110	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19110	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
19110	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19110	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
19110	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19110	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
19110	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
19110	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
19110	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19110	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19110	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
19112	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
19112	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
19112	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
19112	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19112	Mar03 7	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
19112	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
19112	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
19112	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	5	0
19112	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
19112	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19112	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
19112	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19112	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
19112	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19112	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19112	Mar03 7	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
19112	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19112	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
19112	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19112	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
19112	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
19112	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
19112	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19112	Mar03 7	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
19112	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
19120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
19120	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
19120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19120	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
19120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
19120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19120	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19120	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
19120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19120	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	0
19120	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
19120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
19120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	60	0
19120	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	0
19120	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
19120	CMS	Lab	SL072	formalin	ml	0.009	10	0
19120	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	2.8625	1	0
19125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
19125	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
19125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19125	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
19125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
19125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19125	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
19125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
19125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	0
19125	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
19125	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
19125	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	60	0
19125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	0
19125	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
19125	CMS	Lab	SL072	formalin	ml	0.009	10	0
19125	CMS	Infection Control	SM011	"cleaning brush, instruments"	item	2.8625	1	0
19260	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19260	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19260	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3.5
19260	Jan03	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475		3
19260	Jan03	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		3
19260	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
19260	Jan03	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569		3
19260	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		480
19271	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
19271	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19271	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6.5
19271	Jan03	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475		5
19271	Jan03	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		5
19271	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
19271	Jan03	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569		5
19271	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
19272	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
19272	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19272	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		7
19272	Jan03	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475		5
19272	Jan03	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		5
19272	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
19272	Jan03	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569		5
19272	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
19281	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19281	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19281	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19281	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19281	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19281	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19281	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0
19281	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19281	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	2	0
19281	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19281	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19281	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19281	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19281	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19281	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19281	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19282	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19282	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19282	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19282	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19282	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0
19282	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19282	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	2	0
19282	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19282	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19282	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19282	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19282	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19282	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19282	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19282	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19283	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19283	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19283	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19283	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19283	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
19283	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19283	CMS	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0
19283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19283	CMS	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	2	0
19283	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19283	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19283	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19283	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19283	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19283	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19283	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19283	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19283	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19283	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19283	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	0
19283	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19283	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
19284	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19284	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19284	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19284	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19284	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19284	CPT14 May 2	"Hypodermic, IV"	SC045	needle-wire for localization	item	15	2	0
19284	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19284	CPT14 May 2	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	2	0
19284	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19284	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19284	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19284	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19284	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19284	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19284	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19284	CPT14 May 2	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	0
19284	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19284	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
19285	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
19285	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
19285	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19285	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19285	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19285	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19285	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19285	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0
19285	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
19285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19285	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	3	0
19285	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19285	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19285	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19285	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19285	CMS	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19285	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19285	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
19285	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19285	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
19285	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
19285	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19285	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19286	CPT14 May 2	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
19286	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19286	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19286	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19286	CPT14 May 2	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	5	0
19286	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19286	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19286	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	3	0
19286	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19286	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19286	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19286	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19286	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19286	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19286	CPT14 May 2	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	2	0
19286	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19286	CPT14 May 2	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19287	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19287	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19287	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
19287	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19287	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
19287	CMS	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19287	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19287	CMS	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19287	CMS	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19287	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19287	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19287	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19287	CMS	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19287	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19287	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19287	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19287	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19287	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19287	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19288	CPT14 May 2	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19288	CPT14 May 2	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
19288	CPT14 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
19288	CPT14 May 2	"Hypodermic, IV"	SC022	Mammotome probe guide	item	6.9375	1	0
19288	CPT14 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
19288	CPT14 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
19288	CPT14 May 2	"Accessory, Procedure"	SD037	"clip, tissue marker"	item	91.4275	1	0
19288	CPT14 May 2	"Accessory, Procedure"	SD094	Mammotome probe	item	183.75	1	0
19288	CPT14 May 2	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
19288	CPT14 May 2	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19288	CPT14 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
19288	CPT14 May 2	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19288	CPT14 May 2	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
19288	CPT14 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
19288	CPT14 May 2	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19288	CPT14 May 2	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
19288	CPT14 May 2	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19288	CPT14 May 2	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19288	CPT14 May 2	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	0
19296	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
19296	CMS	"Kit, Pack, Tray"	SA087	"tray, RTS applicator (MammoSite)"	item	2619.465	1	0
19296	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19296	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
19296	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
19296	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19296	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
19296	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19296	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19296	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19296	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
19296	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19296	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19296	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19296	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
19296	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19296	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19296	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
19296	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19296	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19296	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	240	0
19296	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	5	0
19296	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
19296	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19298	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
19298	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
19298	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
19298	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
19298	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
19298	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
19298	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
19298	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19298	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
19298	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
19298	Mod sed	"Hypodermic, IV"	SC073	"implant catheter, button-end, single leader"	item	18.7675	30	0
19298	Mod sed	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19298	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
19298	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
19298	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
19298	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
19298	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
19298	Mod sed	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
19298	Mod sed	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
19298	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
19298	Mod sed	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	240	0
19298	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	5	0
19298	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
19298	Mod sed	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
19300	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
19300	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
19300	Jan03 cs	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
19300	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
19300	Jan03 cs	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3.5	3.5
19300	Jan03 cs	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19300	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	6	0
19300	Jan03 cs	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
19300	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
19300	Jan03 cs	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
19300	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	1
19300	Jan03 cs	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	1
19300	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	1
19300	Jan03 cs	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	1
19300	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
19300	Jan03 cs	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
19300	Jan03 cs	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
19300	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	2	0
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19300	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19300	Jan03 cs	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	0
19300	Jan03 cs	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	1
19300	Jan03 cs	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598	7	0
19300	Jan03 cs	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	14	4
19300	Jan03 cs	"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
19300	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
19300	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	52	2
19300	Jan03 cs	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
19300	Jan03 cs	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	0
19300	Jan03 cs	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	10
19300	Jan03 cs	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	1
19300	Jan03 cs	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
19301	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19301	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19301	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2.5
19301	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
19301	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		1
19301	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
19301	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
19301	Jan03	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
19301	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
19301	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		2
19301	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
19301	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
19301	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
19302	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19302	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19302	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
19302	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		2
19302	CPT12 5 Year	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		2
19302	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
19302	CPT12 5 Year	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
19302	CPT12 5 Year	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
19302	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		7
19302	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		3
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		17
19302	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
19303	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19303	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
19303	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
19303	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
19303	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
19304	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19304	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19304	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4.5
19304	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		2
19304	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		2
19304	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
19304	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
19304	Jan03	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
19304	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
19304	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		4
19304	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
19304	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
19304	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
19305	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19305	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19305	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4.5
19305	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		2
19305	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		2
19305	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
19305	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
19305	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805		1
19305	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033		1
19305	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
19305	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
19305	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		8
19305	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
19305	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
19305	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
19306	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
19306	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19306	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5.5
19306	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		2
19306	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		2
19306	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
19306	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
19306	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805		1
19306	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033		1
19306	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
19306	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
19306	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		8
19306	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
19306	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
19306	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
19307	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
19307	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
19307	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5.5
19307	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		2
19307	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413		2
19307	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
19307	Jan03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
19307	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805		1
19307	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033		1
19307	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
19307	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
19307	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		8
19307	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
19307	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
19307	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
19316	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19316	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
19316	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
19316	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
19316	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
19318	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19318	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
19324	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19324	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19324	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
19324	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
19324	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
19324	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
19325	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19325	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
19325	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
19325	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
19325	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
19328	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19328	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19328	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
19328	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
19328	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
19328	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
19330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
19330	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
19330	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
19330	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		2
19330	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
19330	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
19340	Oct09	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19340	Oct09	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
19342	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19342	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
19342	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
19342	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
19342	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
19342	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
19350	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
19350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
19350	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
19350	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
19350	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19350	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19350	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
19350	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
19350	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
19350	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19350	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19350	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19350	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
19350	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
19350	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19350	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
19350	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	5	0
19350	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
19350	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
19350	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
19350	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
19355	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
19355	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
19355	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
19355	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
19355	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
19355	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
19355	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
19355	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
19355	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
19355	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
19355	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
19355	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	4	0
19355	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
19355	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
19355	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
19355	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
19357	CPT11 46	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		10
19357	CPT11 46	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
19357	CPT11 46	"Kit, Pack, Tray"	SA108	"kit, tissue expansion"	kit	8.313		8
19361	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19361	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
19364	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2
19364	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
19364	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
19364	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
19364	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
19364	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
19364	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
19364	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
19367	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2
19367	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		4
19367	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19367	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
19367	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
19367	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
19367	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
19367	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
19368	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2
19368	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
19368	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19368	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
19368	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
19368	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
19368	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
19368	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
19369	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		2
19369	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
19369	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
19369	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
19369	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
19369	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
19369	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
19369	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
19370	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19370	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		3
19370	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		3
19370	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
19370	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
19371	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19371	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19371	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
19371	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
19371	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
19371	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
19380	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
19380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
19380	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
19380	Sep02	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		4
19380	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
19380	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
19396	Feb05 R	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
19396	Feb05 R	"Kit, Pack, Tray"	SA090	"kit, moulage (implantech)"	kit	75	1	0
19396	Feb05 R	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
19396	Feb05 R	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
19396	Feb05 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
19396	Feb05 R	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
19396	Feb05 R	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
19396	Feb05 R	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
19396	Feb05 R	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
19396	Feb05 R	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
20005	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20005	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
20005	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20005	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
20005	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
20005	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20005	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
20005	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20005	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20005	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20005	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20005	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20005	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20005	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20005	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20005	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20005	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20005	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20005	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
20100	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
20100	Mar04 U	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20101	Mar03 7	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20101	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
20101	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20101	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20101	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
20101	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20101	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20101	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
20101	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20101	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0
20101	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	30	0
20101	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
20101	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20101	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
20101	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20101	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
20101	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
20101	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
20101	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
20101	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
20101	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20101	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20101	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20101	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
20101	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20101	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20101	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20101	Mar03 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
20101	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20101	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
20102	Mar03 7	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20102	Mar03 7	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
20102	Mar03 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20102	Mar03 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20102	Mar03 7	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
20102	Mar03 7	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20102	Mar03 7	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20102	Mar03 7	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
20102	Mar03 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20102	Mar03 7	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0
20102	Mar03 7	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	30	0
20102	Mar03 7	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
20102	Mar03 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20102	Mar03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
20102	Mar03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20102	Mar03 7	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
20102	Mar03 7	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
20102	Mar03 7	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
20102	Mar03 7	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
20102	Mar03 7	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
20102	Mar03 7	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20102	Mar03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20102	Mar03 7	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20102	Mar03 7	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
20102	Mar03 7	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20102	Mar03 7	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20102	Mar03 7	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20102	Mar03 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
20102	Mar03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20102	Mar03 7	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
20103	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20103	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20103	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20103	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
20103	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
20103	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20103	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20103	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20103	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20103	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20103	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20103	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20103	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
20103	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20103	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
20103	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20103	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20103	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
20103	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	108	0
20103	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20103	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20103	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20103	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20103	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20150	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20150	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20200	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
20200	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20200	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
20200	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
20200	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20200	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
20200	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
20200	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
20200	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
20200	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
20200	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20200	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20200	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20200	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20200	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20200	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
20200	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20200	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
20200	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20200	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20200	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20200	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20200	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20200	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
20200	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
20205	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20205	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
20205	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20205	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
20205	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
20205	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20205	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
20205	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
20205	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
20205	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
20205	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
20205	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20205	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20205	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20205	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20205	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20205	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
20205	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20205	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
20205	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20205	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20205	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20205	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20205	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20205	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
20205	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
20206	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20206	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
20206	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
20206	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20206	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
20206	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20206	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
20206	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
20206	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
20206	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20206	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20206	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
20206	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20206	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20206	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20206	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20206	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
20206	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
20206	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
20220	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20220	Jan04 5	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	36.8675	1	0
20220	Jan04 5	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
20220	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
20220	Jan04 5	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20220	Jan04 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
20220	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20220	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
20220	Jan04 5	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
20220	Jan04 5	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
20220	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20220	Jan04 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20220	Jan04 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20220	Jan04 5	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20220	Jan04 5	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
20220	Jan04 5	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
20220	Jan04 5	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
20225	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20225	Jan04 5	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
20225	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
20225	Jan04 5	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20225	Jan04 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
20225	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20225	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
20225	Jan04 5	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
20225	Jan04 5	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
20225	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20225	Jan04 5	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
20225	Jan04 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20225	Jan04 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20225	Jan04 5	"Hypodermic, IV"	SC077	"needle, bone biopsy"	item	66.75	1	0
20225	Jan04 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20225	Jan04 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20225	Jan04 5	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20225	Jan04 5	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
20225	Jan04 5	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
20225	Jan04 5	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
20250	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
20250	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20251	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
20251	Jan04 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20500	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
20500	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20500	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
20500	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20500	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
20500	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
20500	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
20500	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
20500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20501	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
20501	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
20501	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
20501	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20501	Oct00	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
20501	Oct00	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
20501	Oct00	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.9472	1	0
20501	Oct00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20501	Oct00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20501	Oct00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20520	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
20520	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20520	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
20520	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20520	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
20520	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
20520	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20520	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20520	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
20520	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20520	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20520	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20520	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20520	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20520	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20525	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20525	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20525	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
20525	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
20525	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20525	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20525	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20525	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20525	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20525	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
20525	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20525	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
20525	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20525	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20525	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
20525	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	108	0
20525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20525	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20525	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20525	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20525	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20526		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20526		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20526		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20526		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20526		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20526		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20526		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20526		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20527	CPT12 May 2	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20527	CPT12 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20527	CPT12 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20527	CPT12 May 2	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
20527	CPT12 May 2	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
20527	CPT12 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20527	CPT12 May 2	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20527	CPT12 May 2	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20550	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20550	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20550	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20550	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20550	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20550	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20550	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20551	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20551	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20551	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20551	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
20551	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20551	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20551	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20551	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20551	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20552	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20552	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
20552	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20552	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20552	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
20552	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
20552	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20552	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20552	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20553	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20553	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
20553	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20553	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
20553	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
20553	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	0
20553	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20553	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20553	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20600	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20600	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20600	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20600	CPT13 May 42	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
20600	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20600	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20600	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
20600	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20600	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20604	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
20604	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20604	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20604	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
20604	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20604	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20604	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
20604	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20604	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20604	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
20604	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
20604	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
20605	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20605	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20605	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20605	CPT13 May 42	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
20605	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20605	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20605	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
20605	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20605	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20606	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
20606	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20606	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20606	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
20606	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20606	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
20606	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20606	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20606	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
20606	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
20606	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
20610	CPT13 May 42	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20610	CPT13 May 42	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20610	CPT13 May 42	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20610	CPT13 May 42	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
20610	CPT13 May 42	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20610	CPT13 May 42	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20610	CPT13 May 42	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
20610	CPT13 May 42	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20610	CPT13 May 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20611	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
20611	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20611	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20611	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
20611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20611	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20611	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
20611	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
20611	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
20611	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
20611	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
20612		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20612		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
20612		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
20612		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
20612		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
20612		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20612		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
20612		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20612		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
20615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20615	CMS	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	36.8675	1	0
20615	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20615	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20615	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20650	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
20650	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
20650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
20650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
20650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20650	CMS	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	5.2878	1	0
20650	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
20650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20661	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20663	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20664	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20664	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
20665	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
20665	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
20665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
20665	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
20665	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	5	0
20670	Mar04 D	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20670	Mar04 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
20670	Mar04 D	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20670	Mar04 D	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20670	Mar04 D	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
20670	Mar04 D	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
20670	Mar04 D	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
20670	Mar04 D	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
20670	Mar04 D	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
20670	Mar04 D	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20670	Mar04 D	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
20670	Mar04 D	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
20670	Mar04 D	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
20670	Mar04 D	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
20670	Mar04 D	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
20670	Mar04 D	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
20670	Mar04 D	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20670	Mar04 D	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20670	Mar04 D	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	3	0
20670	Mar04 D	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20670	Mar04 D	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
20670	Mar04 D	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20670	Mar04 D	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
20670	Mar04 D	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
20670	Mar04 D	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
20670	Mar04 D	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20670	Mar04 D	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20670	Mar04 D	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
20670	Mar04 D	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
20670	Mar04 D	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
20670	Mar04 D	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20670	Mar04 D	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20670	Mar04 D	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20670	Mar04 D	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20680	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20680	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
20680	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20680	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
20680	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
20680	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20680	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20680	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20680	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20680	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20680	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20680	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20680	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
20680	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20680	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
20680	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20680	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20680	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20680	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20680	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20680	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20680	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20680	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20690	CPT08 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20692	CPT08 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20693	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20693	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20694	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20694	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
20694	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
20694	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
20694	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20694	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20694	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20694	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20694	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	2	0
20694	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20694	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
20694	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20694	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20694	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20694	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20694	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20694	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20696	CPT09 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20697	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
20697	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
20697	RUC	"Accessory, Procedure"	SD240	"strut, replacement, dynamic external fixation"	item	1159.695	1	
20802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20808	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20808	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20816	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
20816	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20822	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
20824	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20827	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20827	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20838	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20838	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
20838	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
20838	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
20900	Apr08 ss	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20900	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20900	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
20900	Apr08 ss	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
20900	Apr08 ss	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
20900	Apr08 ss	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
20900	Apr08 ss	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
20900	Apr08 ss	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20900	Apr08 ss	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
20900	Apr08 ss	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20900	Apr08 ss	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
20900	Apr08 ss	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20900	Apr08 ss	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20900	Apr08 ss	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20900	Apr08 ss	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20900	Apr08 ss	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20900	Apr08 ss	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
20900	Apr08 ss	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
20900	Apr08 ss	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
20910	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20910	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20912	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
20912	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20922	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
20922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
20922	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
20922	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
20922	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
20922	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
20922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
20922	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
20922	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
20922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
20922	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
20922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20922	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
20922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
20922	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
20922	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
20922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
20922	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20922	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
20922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
20924	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20924	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20926	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
20926	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20950	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20950	Mar03 6	"Kit, Pack, Tray"	SA078	"kit, slit catheter (for compartment pressure monitor)"	kit	80.24	1	0
20950	Mar03 6	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20950	Mar03 6	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
20950	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
20950	Mar03 6	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
20955	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20955	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20956	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
20956	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20957	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
20957	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20962	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
20962	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20969	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20969	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20970	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20970	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
20972	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20972	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20973	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
20973	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
20974	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20979		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20982	Mod sed	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	202.175	1	0
20982	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20982	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
20982	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
20982	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
20982	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
20982	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
20982	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20982	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
20982	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
20982	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
20982	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
20982	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20982	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20982	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
20982	Mod sed	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1892.665	1	0
20982	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
20982	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20982	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
20982	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
20982	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
20982	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20982	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20982	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20982	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
20982	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
20982	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
20982	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
20982	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
20983	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
20983	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
20983	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
20983	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
20983	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
20983	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
20983	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
20983	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
20983	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
20983	Mod sed	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	4	0
20983	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
20983	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
20983	Mod sed	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.6825	455	0
20983	Mod sed	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.3725	575	0
20983	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1173.805	3	0
20983	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
20983	Mod sed	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.7648	1	0
20983	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
20983	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
20983	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
20983	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
20983	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
20983	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
20983	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
20983	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	3	0
21010	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21010	Apr06 J	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21011	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21011	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21011	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21011	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21011	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21011	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
21011	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21011	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21011	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21011	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
21011	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21011	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
21011	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21011	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21011	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21011	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21011	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
21011	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
21011	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21011	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
21011	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
21011	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21011	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21011	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21011	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21012	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21012	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21013	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21013	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21013	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21013	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21013	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21013	CPT10 27	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
21013	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
21013	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21013	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21013	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21013	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
21013	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21013	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
21013	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21013	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21013	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21013	CPT10 27	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
21013	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21013	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
21013	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
21013	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21013	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
21013	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
21013	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21013	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21013	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21013	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21014	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21014	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21015	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21015	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21016	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21016	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21025	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21025	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21025	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21025	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21025	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21025	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21025	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21025	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21025	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21025	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21025	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21025	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21025	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21025	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21025	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21025	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21025	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21025	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21025	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21025	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21025	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21025	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21025	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21026	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21026	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21026	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21026	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21026	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21026	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21026	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21026	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21026	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21026	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21026	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21026	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21026	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21026	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21026	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21026	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21026	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21026	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21026	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21026	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21026	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21026	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21026	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21026	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21026	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21026	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21026	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21026	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21029	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21029	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21029	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21029	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21029	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21029	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21029	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21029	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21029	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21029	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21029	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21029	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21029	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21029	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4	3
21029	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	3
21029	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	3
21029	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21029	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21029	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21029	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21029	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21029	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21029	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21029	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21029	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21029	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21029	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21029	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21030	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21030	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21030	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4	3
21030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	3
21030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	3
21030	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21030	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21030	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21030	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21030	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21030	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21031	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21031	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21031	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21031	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21031	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21031	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21031	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21031	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21031	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21031	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21031	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
21031	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
21031	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
21031	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21031	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21031	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21031	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21031	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21031	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21031	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21031	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21032	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21032	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21032	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21032	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21032	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21032	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21032	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21032	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21032	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21032	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21032	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21032	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21032	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21032	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
21032	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
21032	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
21032	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21032	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21032	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21032	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21032	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21032	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21032	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21032	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21032	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21032	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21032	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21032	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21034	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21034	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21034	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21034	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21034	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21034	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21034	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21034	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21034	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21034	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21034	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21034	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21034	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21034	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21034	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21034	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21034	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21034	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21034	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21040	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
21040	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21040	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21040	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21040	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21040	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21040	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4	3
21040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	3
21040	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	3
21040	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21040	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
21040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21040	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21040	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
21040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21040	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
21040	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21040	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21044	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21044	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21044	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21044	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
21044	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21045	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21045	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21045	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21045	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21045	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21046	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21046	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21046	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		6
21046	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
21046	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
21046	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		6
21046	Sep02	"Gown, Drape"	SB038	safety glasses	item	2.6565		6
21046	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		6
21046	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		3
21046	Sep02	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		3
21046	Sep02	"Accessory, Procedure"	SD006	bite block	item	1.775		2
21046	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21046	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21046	Sep02	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418		3
21046	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498		24
21046	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		24
21046	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5
21046	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		18
21046	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		18
21047	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21047	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21048	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21048	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21048	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		6
21048	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
21048	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
21048	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		6
21048	Sep02	"Gown, Drape"	SB038	safety glasses	item	2.6565		6
21048	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		6
21048	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		3
21048	Sep02	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		3
21048	Sep02	"Accessory, Procedure"	SD006	bite block	item	1.775		2
21048	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21048	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21048	Sep02	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418		3
21048	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498		24
21048	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		24
21048	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		4.5
21048	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		18
21048	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		18
21049	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21049	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21050	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21050	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21050	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21050	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21050	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21060	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21060	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21060	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21060	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
21060	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21070	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21070	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21070	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21070	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
21070	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21073	CPT08 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21073	CPT08 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
21073	CPT08 6	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	5	4
21073	CPT08 6	"Accessory, Procedure"	SD006	bite block	item	1.775	2	0
21073	CPT08 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21073	CPT08 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21073	CPT08 6	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
21073	CPT08 6	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	6	0
21073	CPT08 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
21073	CPT08 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21073	CPT08 6	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
21073	CPT08 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21073	CPT08 6	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	54	0
21073	CPT08 6	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	5	4
21076	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21076	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21076	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21076	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21076	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0
21076	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21076	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21076	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21076	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21076	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21076	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		16	0
21076	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0
21076	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21076	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21076	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	3	0
21076	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21076	Final 08	Lab	SL047	dental stone powder	lb	2.1435	1	0
21076	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21076	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21076	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21076	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21077	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21077	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21077	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21077	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21077	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21077	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21077	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21077	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21077	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21077	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.1275	30	0
21077	Final 08	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.47	1	0
21077	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.05	0
21077	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21077	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21077	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21077	Final 08	Lab	SL047	dental stone powder	lb	2.1435	1	0
21077	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21077	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21077	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21077	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21077	Final 08	Lab	SL237	silicone	gm		57	0
21079	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
21079	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21079	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21079	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21079	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21079	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21079	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0
21079	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21079	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21079	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21079	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21079	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21079	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21079	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0
21079	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21079	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21079	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21079	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	6	0
21079	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21079	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21079	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21079	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21079	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21079	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21079	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21080	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
21080	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21080	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21080	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21080	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21080	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21080	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0
21080	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21080	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21080	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21080	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21080	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21080	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21080	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0
21080	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21080	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21080	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21080	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	6	0
21080	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21080	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21080	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21080	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21080	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21080	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21080	Final 08	Lab	SL228	Greenstick compound	item		5	0
21080	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21081	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
21081	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21081	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21081	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21081	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21081	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21081	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21081	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21081	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21081	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21081	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21081	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21081	Final 08	"Pharmacy, NonRx"	SJ084	teeth set	item		1	0
21081	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21081	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21081	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	2	0
21081	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	6	0
21081	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21081	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21081	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21081	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21081	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21081	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21081	Final 08	Lab	SL228	Greenstick compound	item		5	0
21081	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21081	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21082	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	0
21082	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21082	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21082	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21082	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21082	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21082	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21082	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21082	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21082	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21082	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21082	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21082	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		3	0
21082	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21082	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21082	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21082	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	6	0
21082	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21082	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21082	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21082	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21082	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21082	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21082	Final 08	Lab	SL228	Greenstick compound	item		1	0
21082	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21082	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21083	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	0
21083	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21083	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21083	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21083	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21083	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21083	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21083	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21083	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21083	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21083	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21083	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21083	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0
21083	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21083	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21083	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21083	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	6	0
21083	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21083	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21083	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21083	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21083	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21083	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21083	Final 08	Lab	SL228	Greenstick compound	item		1	0
21083	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21083	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21084	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	0
21084	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21084	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21084	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21084	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21084	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21084	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21084	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21084	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21084	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21084	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21084	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21084	Final 08	"Pharmacy, NonRx"	SJ085	triad tray material	item		2	0
21084	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21084	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21084	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21084	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	3	0
21084	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21084	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21084	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21084	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21084	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21084	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21084	Final 08	Lab	SL228	Greenstick compound	item		1	0
21084	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21084	Final 08	Lab	SL236	"reline material, Trusoft"	gm		45	0
21085	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21085	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21085	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21085	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21085	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21085	Final 08	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	0
21085	Final 08	"Cutters, Closures, Cautery"	SF054	"wire, orthodontic"	item		1	0
21085	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21085	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21085	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21085	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21085	Final 08	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	24	0
21085	Final 08	"Pharmacy, NonRx"	SJ082	"paste, registration"	gm		8	0
21085	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21085	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21085	Final 08	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	0
21085	Final 08	"Office Supply, Grocery"	SK109	"paper, articulating"	item	0.0367	3	0
21085	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21085	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21085	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21085	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21085	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21085	Final 08	Lab	SL208	"alloy framework, laboratory processing"	item		1	0
21085	Final 08	Lab	SL228	Greenstick compound	item		1	0
21085	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21086	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21086	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21086	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21086	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21086	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21086	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21086	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21086	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21086	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21086	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.1275	30	0
21086	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0
21086	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21086	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21086	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21086	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21086	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21086	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21086	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21086	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21086	Final 08	Lab	SL237	silicone	gm		57	0
21087	Final 08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21087	Final 08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
21087	Final 08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	14	0
21087	Final 08	"Gown, Drape"	SB037	pillow case	item	0.3478	6	0
21087	Final 08	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
21087	Final 08	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	14	0
21087	Final 08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
21087	Final 08	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
21087	Final 08	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
21087	Final 08	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.1275	30	0
21087	Final 08	"Pharmacy, NonRx"	SJ083	polyurethane sheets (quantity as rolls)	roll		0.5	0
21087	Final 08	"Pharmacy, NonRx"	SJ086	"wax, baseplate"	gm		45	0
21087	Final 08	"Pharmacy, NonRx"	SJ087	"wax, boxing"	gm		45	0
21087	Final 08	Lab	SL046	dental impression tray	item	0.4545	1	0
21087	Final 08	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
21087	Final 08	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
21087	Final 08	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
21087	Final 08	Lab	SL205	"acylic, dental"	gm		45	0
21087	Final 08	Lab	SL230	"impression material, final"	ml		6	0
21087	Final 08	Lab	SL237	silicone	gm		57	0
21100	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21100	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21100	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	6	5
21100	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21100	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21100	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21100	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21100	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
21100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21100	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	6	0
21100	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21100	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	3	0
21100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21100	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21100	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	12	10
21100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	6	5
21100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	50	50
21100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	0
21100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
21100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	6	5
21110	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	5	5
21110	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	6	5
21110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21110	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	6	5
21110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	5
21110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	5
21110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	6	5
21110	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	6	5
21110	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21110	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21110	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21110	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21110	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	12	10
21110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21110	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	6	5
21110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	6	5
21116	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
21116	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
21116	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
21116	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
21120	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
21120	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21120	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
21120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4.5	2.5
21120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5
21120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	5.5	3.5
21120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	4.5	3.5
21120	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21120	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4.5	3.5
21120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4.5	3.5
21120	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4.5	3.5
21120	Mar04 I	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
21120	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21120	Mar04 I	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
21120	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
21120	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	1
21120	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	10	3
21120	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	24	12
21120	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21120	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	4	2
21120	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21120	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	10
21120	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21120	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21120	Mar04 I	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
21121	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21121	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
21121	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21121	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
21121	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4.5	2.5
21121	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5.5	3.5
21121	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	5.5	3.5
21121	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	4.5	3.5
21121	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21121	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21121	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4.5	3.5
21121	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4.5	3.5
21121	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4.5	3.5
21121	Mar04 I	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
21121	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21121	Mar04 I	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
21121	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
21121	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	1
21121	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	10	3
21121	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	24	12
21121	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21121	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	4	2
21121	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21121	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	10
21121	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21121	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21121	Mar04 I	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
21122	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21122	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21122	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21122	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21122	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21122	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21122	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21122	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21122	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21122	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		1
21122	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
21122	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044		12
21122	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21122	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21123	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21123	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21123	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21123	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21123	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21123	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21123	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21123	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21123	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21123	Mar04 I	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205		1
21123	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
21123	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044		12
21123	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21123	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21125	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21125	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21125	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21125	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21125	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21125	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21125	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21125	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21125	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475	1	0
21125	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21125	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21125	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	750.8625	1	0
21125	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	84.655	1	0
21125	CMS	"Accessory, Procedure"	SD201	"screw, surgical, standard, 2.4mm x 14mm"	item	43.9475	16	0
21125	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	4	0
21125	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21125	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21125	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21125	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21125	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21125	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21125	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21125	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21125	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21125	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	5	4
21125	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21125	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21127	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21127	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21127	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95	1	1
21127	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21127	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21127	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	8	2
21127	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
21127	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21127	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21127	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21127	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21127	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21127	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	2	0
21127	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	20	0
21127	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21127	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
21127	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21127	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475	1	0
21127	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21127	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21127	CMS	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	750.8625	1	0
21127	CMS	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	84.655	1	0
21127	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	90.5	16	0
21127	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	4	0
21127	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21127	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	2	0
21127	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21127	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21127	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	8.8818	1	0
21127	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21127	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21127	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
21127	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21127	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21127	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	40	0
21127	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21127	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21127	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	0
21127	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	4	0
21127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	5	4
21127	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	2	0
21127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21137	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21137	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21137	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21137	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21137	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21137	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21138	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21138	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21138	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21138	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21138	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21138	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21139	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21139	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21139	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21139	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21139	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21139	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21139	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21139	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21139	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21139	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21139	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21139	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21139	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21139	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21139	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21139	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21141	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
21141	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12
21141	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		24
21141	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21141	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
21141	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21141	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21141	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
21141	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
21141	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21142	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
21142	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		12
21142	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		24
21142	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21142	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
21142	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21142	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21142	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
21142	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21143	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
21143	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21143	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
21143	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
21143	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
21143	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
21143	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
21143	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
21143	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21143	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21145	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
21145	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21145	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
21146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21146	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		7
21146	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21146	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
21147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21147	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		7
21147	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21147	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21150	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21150	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21150	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21150	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21151	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21151	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21151	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21151	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21151	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21151	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21151	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21151	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21151	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21151	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21151	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21154	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21154	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21154	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21154	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21154	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21154	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21154	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21154	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21154	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21154	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21154	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21155	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21155	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21155	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21155	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21155	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21155	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21155	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21155	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21155	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21155	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21155	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21159	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21159	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21159	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21159	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21159	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21159	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21159	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21159	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21159	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21159	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21159	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21160	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21160	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21160	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21160	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21160	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21160	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21160	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21160	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21160	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21160	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21160	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21172	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21172	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
21172	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		7
21172	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14
21172	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		28
21172	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21172	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		21
21172	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21172	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		420
21172	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21175	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21175	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21175	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
21175	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		7
21175	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14
21175	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		28
21175	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21175	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		21
21175	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21175	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		420
21175	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21179	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21179	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21179	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		7
21179	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14
21179	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		28
21179	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21179	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		21
21179	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21179	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		420
21179	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		14
21179	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21180	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		7
21180	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		14
21180	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		28
21180	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21180	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		21
21180	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21180	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		420
21180	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		14
21180	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21181	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21181	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21181	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21181	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
21181	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21182	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21182	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21182	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21182	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21183	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21183	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21183	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21183	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21183	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21184	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21184	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21184	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21184	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21188	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21188	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21188	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21188	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21188	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21188	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21188	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21188	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21188	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21188	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21188	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21193	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21193	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21193	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21193	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21193	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
21193	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		5
21194	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21194	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21194	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21194	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
21194	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21194	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21195	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5.5
21195	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21195	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21195	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21195	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21195	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21195	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21195	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
21195	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
21195	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21195	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21195	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		1
21195	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		10
21195	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21195	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21195	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
21196	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5.5
21196	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21196	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21196	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21196	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21196	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21196	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21196	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
21196	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
21196	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21196	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21196	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		1
21196	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		10
21196	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21196	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21196	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
21198	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4.5
21198	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21198	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21198	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21198	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21198	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21198	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21198	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21198	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21198	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21198	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21199	Sep02	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835		3
21199	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		3
21199	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
21206	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4.5
21206	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21206	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21206	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21206	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21206	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21206	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21206	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21206	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21206	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21206	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21208	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21208	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21208	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21208	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21208	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21208	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21208	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21208	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21208	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21208	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21208	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21208	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21208	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21208	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21208	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21208	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21208	CMS	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475	1	0
21208	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21208	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21208	CMS	"Accessory, Procedure"	SD189	"plate, surgical, mini-compression, 4 hole"	item	222.2075	1	0
21208	CMS	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	90.5	4	0
21208	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	1	0
21208	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21208	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21208	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21208	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21208	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21208	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21208	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21208	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21208	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21208	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21208	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21208	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	6	5
21208	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21208	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21209	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21209	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21209	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21209	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21209	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21209	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21209	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21209	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12
21209	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	14	12
21209	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21209	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21209	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21209	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21209	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21209	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21209	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21209	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21209	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21209	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21209	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21209	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21209	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21209	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21209	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21209	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21209	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21209	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21209	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21209	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21209	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	7	6
21209	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21209	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21210	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21210	CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95	1	1
21210	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21210	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21210	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	8	2
21210	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
21210	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21210	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21210	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21210	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21210	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21210	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	2	0
21210	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	20	0
21210	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21210	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
21210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21210	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21210	CMS	"Accessory, Procedure"	SD190	"plate, surgical, mini-i, 16mm"	item	142.57	2	0
21210	CMS	"Accessory, Procedure"	SD196	"screw, surgical, auto-drive, 2.0mm x 4mm"	item	37.44	16	0
21210	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21210	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	2	0
21210	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21210	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21210	CMS	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	8.8818	1	0
21210	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21210	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21210	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21210	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
21210	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21210	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21210	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	40	0
21210	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21210	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21210	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	0
21210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	4	0
21210	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	6	5
21210	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	2	0
21210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21215	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	6
21215	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95	1	1
21215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21215	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	8	2
21215	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
21215	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21215	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21215	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21215	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	2	0
21215	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	20	0
21215	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21215	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
21215	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21215	RUC	"Accessory, Procedure"	SD110	"reservoir, drain (Jackson-Pratt)"	item	18.2475	1	0
21215	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21215	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21215	RUC	"Accessory, Procedure"	SD191	"plate, surgical, reconstruction, left, 5 x 16 hole"	item	750.8625	1	0
21215	RUC	"Accessory, Procedure"	SD192	"plate, surgical, reconstruction, template, 5 x 16 hole"	item	84.655	1	0
21215	RUC	"Accessory, Procedure"	SD199	"screw, surgical, locking, 2.4mm x 16mm"	item	90.5	16	0
21215	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	4	0
21215	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21215	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	2	0
21215	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21215	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21215	RUC	"Cutters, Closures, Cautery"	SF034	"stapler, surgical"	item	8.8818	1	0
21215	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21215	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21215	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21215	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
21215	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21215	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21215	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	40	0
21215	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21215	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21215	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	0
21215	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	4	0
21215	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	6	5
21215	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	2	0
21215	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21230	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21230	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
21230	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21230	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
21235	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21235	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21235	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21235	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
21235	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21235	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21235	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
21235	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
21235	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
21235	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21235	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21235	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21235	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21235	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21235	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
21235	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
21235	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
21235	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21235	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21235	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21235	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21240	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
21240	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21242	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21242	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21242	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21242	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21243	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		10
21243	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21243	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21243	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		10
21244	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21244	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21244	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21244	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21244	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21244	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21244	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21244	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21244	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21244	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21244	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21245	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21245	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21245	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21245	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21245	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21245	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21245	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21245	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21245	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21245	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21245	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21245	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21245	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21245	RUC	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21245	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21245	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21245	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21245	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21245	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21245	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21245	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21245	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21245	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
21245	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21245	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21245	RUC	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21245	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21245	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21245	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21245	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	6	5
21245	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21245	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21246	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21246	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21247	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
21247	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21247	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
21247	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		7
21248	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21248	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21248	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21248	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21248	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21248	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21248	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21248	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21248	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21248	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21248	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21248	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21248	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21248	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21248	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21248	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21248	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21248	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21248	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21248	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21248	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21248	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21248	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
21248	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21248	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21248	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21248	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21248	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21248	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21248	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	5	4
21248	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21248	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21249	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21249	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21249	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21249	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21249	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	2
21249	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21249	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21249	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21249	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21249	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21249	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21249	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
21249	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	10	0
21249	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21249	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	0
21249	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21249	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21249	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21249	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21249	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21249	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21249	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
21249	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
21249	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21249	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	20	0
21249	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
21249	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
21249	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21249	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	5	4
21249	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21255	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
21255	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21255	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21255	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21255	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21255	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21255	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21255	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21255	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21255	Mar04 I	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542		1
21255	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21255	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21255	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21256	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
21260	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21260	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21260	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21260	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21260	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21260	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21260	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21260	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
21260	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
21260	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
21260	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21260	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
21260	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21260	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21260	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21260	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21260	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21260	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21260	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21261	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21261	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21261	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21261	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21261	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21261	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21261	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21261	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21261	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21261	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21261	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21261	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21261	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21261	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21261	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21261	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21261	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21261	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21261	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21263	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21263	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21263	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21263	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21263	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21263	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21263	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21263	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21263	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21263	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21263	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21263	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21263	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21263	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21263	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21263	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21263	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21263	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21263	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21267	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21267	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21267	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21267	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21267	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21267	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21267	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21267	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21267	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21267	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21267	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21267	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21267	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21267	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21267	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21267	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21267	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21267	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21267	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21268	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21268	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21268	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21268	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21268	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21268	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
21268	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21268	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
21268	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
21268	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
21268	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21268	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
21268	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21268	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21268	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21268	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21268	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21268	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21268	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21270	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21270	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
21270	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21270	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
21270	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
21270	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
21270	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21270	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
21270	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
21270	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
21270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21270	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21270	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21270	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21275	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21275	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
21275	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		10
21275	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
21275	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21275	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		15
21275	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21275	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		300
21275	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
21275	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		5
21280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21280	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21280	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21280	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21280	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21280	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21280	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21280	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21280	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
21280	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21282	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21282	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21282	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21282	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21282	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21282	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21282	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21282	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
21282	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21295	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21295	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21295	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21295	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21295	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21295	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21296	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21296	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21296	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21296	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21296	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21296	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21296	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21296	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21296	Mar04 I	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
21296	Mar04 I	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
21296	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21296	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21310	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
21310	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21310	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21310	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
21310	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21310	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	0
21310	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
21310	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	0
21310	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
21310	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
21310	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21310	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
21310	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21315	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
21315	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
21315	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1
21315	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
21315	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
21315	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21315	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21315	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21315	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
21315	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
21315	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
21315	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
21315	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
21315	Mar04 I	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	21.8175	1	0
21315	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	12	0
21315	Mar04 I	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
21315	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21315	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21315	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
21315	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21320	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
21320	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1.5	0
21320	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2.5	0.5
21320	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2.5	0.5
21320	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2.5	0.5
21320	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21320	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21320	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21320	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1.5	0.5
21320	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1.5	0.5
21320	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1.5	0.5
21320	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
21320	Mar04 I	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21320	Mar04 I	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
21320	Mar04 I	"Wound Care, Dressings"	SG073	"splint, adhesive nasal (Denver)"	item	21.8175	1	0
21320	Mar04 I	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
21320	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21320	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	6	0
21320	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21320	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
21320	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21325	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21325	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21325	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21325	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21325	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21325	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21325	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21325	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21325	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21325	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21325	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21325	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21325	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21325	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21325	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21325	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21325	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21330	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21330	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21330	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21330	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21330	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21330	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21330	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21330	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21330	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21330	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21330	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21330	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21330	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21330	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21330	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21330	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21330	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21335	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21335	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21335	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21335	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21335	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21335	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21335	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21335	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21335	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21335	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21335	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21335	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21335	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21335	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21335	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21335	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21335	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21336	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
21336	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21336	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21336	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21336	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21336	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21336	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21336	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21336	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21336	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21336	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21336	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21336	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21336	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21336	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21336	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21336	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21337	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21337	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21337	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21337	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
21337	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21337	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21337	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
21337	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
21337	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
21337	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21337	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21337	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21337	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21337	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21337	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
21337	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
21337	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
21337	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21337	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21337	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21337	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21338	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
21338	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21338	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21338	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21338	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21338	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21338	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21338	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21338	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21338	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21338	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21338	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21338	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21338	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21338	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21338	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21338	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21339	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
21339	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21339	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21339	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21339	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21339	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21339	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21339	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21339	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21339	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21339	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21339	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21339	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21339	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21339	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21339	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21339	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21340	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21343	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
21343	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21343	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21343	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21343	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21343	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21343	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21343	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21343	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21343	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21343	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21343	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21343	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
21343	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
21343	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21343	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21343	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
21344	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
21344	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21344	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21344	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21344	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21344	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
21344	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		4
21344	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21344	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21344	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		4
21344	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		20
21344	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21344	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21344	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
21345	Aug03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21345	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21345	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21345	Aug03 6	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
21345	Aug03 6	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21345	Aug03 6	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21345	Aug03 6	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
21345	Aug03 6	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
21345	Aug03 6	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	3	0
21345	Aug03 6	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
21345	Aug03 6	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
21345	Aug03 6	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21345	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21345	Aug03 6	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21345	Aug03 6	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21346	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21346	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21346	Aug03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		4
21346	Aug03 6	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
21346	Aug03 6	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
21346	Aug03 6	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415		4
21346	Aug03 6	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092		1
21346	Aug03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
21346	Aug03 6	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		4
21346	Aug03 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21346	Aug03 6	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21346	Aug03 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21346	Aug03 6	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
21346	Aug03 6	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		75
21346	Aug03 6	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		6
21346	Aug03 6	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481		8
21346	Aug03 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		10
21346	Aug03 6	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
21346	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905		4
21346	Aug03 6	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21346	Aug03 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
21347	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
21347	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21347	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21347	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21347	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21347	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
21347	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		4
21347	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21347	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21347	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		4
21347	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		20
21347	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21347	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21347	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
21348	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21348	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21348	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
21348	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21348	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21348	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21355	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21355	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21355	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21355	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
21355	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21355	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21355	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	4	0
21355	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21355	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21355	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21355	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
21355	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21355	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
21355	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21355	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
21355	Mar04 I	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21355	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	12	0
21355	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21355	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21355	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21355	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
21355	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21355	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21356	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21356	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21356	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21356	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
21356	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1
21356	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
21356	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	4	0
21356	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21356	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21356	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
21356	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
21356	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
21356	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
21356	Mar04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21356	Mar04 I	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
21356	Mar04 I	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21356	Mar04 I	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	12	0
21356	Mar04 I	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21356	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21356	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21356	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
21356	Mar04 I	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21356	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21360	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21360	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21365	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21365	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21365	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21365	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21366	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21366	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21366	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
21366	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21366	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		300
21366	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21385	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21385	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21385	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21385	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
21385	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21385	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21385	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21385	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21385	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21386	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21386	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21386	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21386	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21387	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21387	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21387	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21387	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21387	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21387	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21387	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21387	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21387	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21387	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21387	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21390	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
21390	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21390	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21390	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21390	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21390	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21390	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21390	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21390	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21395	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21395	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
21395	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21395	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21395	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21395	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21395	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21395	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21395	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21395	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21400	Aug03 6	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21400	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21401	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21401	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21401	CMS	"Accessory, Procedure"	SD197	"screw, surgical, Carroll-Girard, 9cm x 3.75in"	item	92	1	0
21406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21406	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21406	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21406	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21406	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21406	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21406	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21406	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21406	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21406	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
21406	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21407	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21407	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21407	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21407	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21407	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21407	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21407	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21407	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21407	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21407	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
21407	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21408	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21408	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21408	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
21408	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		8
21408	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
21408	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		2
21408	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
21408	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
21408	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
21408	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
21408	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21421	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21421	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21421	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21421	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21421	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21421	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	6	5
21421	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21421	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21421	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21421	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21421	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21421	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21421	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	6	5
21421	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21421	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21421	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	6	5
21421	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	5
21421	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	5
21421	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	6	5
21421	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21421	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21421	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	13	0
21421	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21421	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21421	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	14	12
21421	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21421	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21421	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	6	5
21421	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	7	6
21421	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21421	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21421	CMS	Lab	SL152	acrylic tray-base material	oz	1.8284	1	0
21422	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21422	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21422	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21422	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21422	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21422	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21422	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21422	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21422	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21422	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21422	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21423	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21423	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21423	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
21423	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
21423	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21423	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
21423	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
21423	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21423	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21423	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
21423	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21431	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21431	Aug03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		4
21431	Aug03 6	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
21431	Aug03 6	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
21431	Aug03 6	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415		4
21431	Aug03 6	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092		1
21431	Aug03 6	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
21431	Aug03 6	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		4
21431	Aug03 6	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
21431	Aug03 6	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21431	Aug03 6	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
21431	Aug03 6	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
21431	Aug03 6	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		75
21431	Aug03 6	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		6
21431	Aug03 6	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481		8
21431	Aug03 6	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		10
21431	Aug03 6	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
21431	Aug03 6	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905		4
21431	Aug03 6	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21431	Aug03 6	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
21432	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
21432	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
21432	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21432	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21432	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		1
21432	Mar04 I	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
21432	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
21432	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
21432	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
21432	Mar04 I	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235		1
21432	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		10
21432	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
21432	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
21432	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
21433	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21433	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21433	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21433	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21433	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21435	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21435	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
21435	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21435	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
21436	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21436	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21436	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
21436	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21436	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
21436	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		5
21440	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21440	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21440	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21440	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21440	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	4	4
21440	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21440	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21440	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21440	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21440	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21440	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21440	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	5	4
21440	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21440	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21440	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	5	4
21440	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21440	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21440	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21440	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	5	4
21440	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	6	0
21440	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	2	0
21440	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
21440	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21440	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	10	8
21440	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21440	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21440	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	5	4
21440	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	5	4
21440	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21440	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21445	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21445	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21445	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21445	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21445	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21445	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	4	4
21445	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21445	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21445	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21445	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21445	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21445	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21445	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	5	4
21445	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21445	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21445	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	5	4
21445	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21445	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21445	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21445	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	5	4
21445	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21445	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21445	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21445	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	2	0
21445	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
21445	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21445	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	10	8
21445	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21445	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21445	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	5	4
21445	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	5	4
21445	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21445	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
21450	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21450	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21450	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	4	4
21450	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	10	8
21450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	10	8
21450	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21450	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21450	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	5	4
21450	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21450	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	5	4
21450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	5	4
21450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	5	4
21450	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	5	4
21450	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	5	4
21450	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21450	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21450	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21450	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21450	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	10	8
21450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21450	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21450	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	5	4
21450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	5	4
21450	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21451	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21451	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21451	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21451	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	5	5
21451	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21451	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21451	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21451	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21451	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21451	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	6	5
21451	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21451	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	6	5
21451	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	5
21451	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	5
21451	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	6	5
21451	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	6	5
21451	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21451	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21451	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21451	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21451	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21451	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	12	10
21451	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21451	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21451	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	6	5
21451	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	6	5
21451	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21451	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21452	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21452	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21452	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21452	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21452	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	3	3
21452	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21452	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	8	6
21452	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	8	6
21452	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21452	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21452	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	4	3
21452	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21452	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	4	3
21452	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	4	3
21452	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	3
21452	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	3
21452	CMS	"Accessory, Procedure"	SD200	"screw, surgical, self-tapping, 1.5-2.0mm"	item	27	3	0
21452	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	4	3
21452	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21452	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21452	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21452	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
21452	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21452	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	8	6
21452	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21452	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21452	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	4	3
21452	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	4	3
21452	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21452	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21452	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21452	CMS	Lab	SL152	acrylic tray-base material	oz	1.8284	5	0
21453	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21453	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21453	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21453	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21453	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	6	6
21453	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21453	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21453	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12
21453	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	14	12
21453	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21453	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21453	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	7	6
21453	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21453	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21453	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	7	6
21453	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	7	6
21453	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	7	6
21453	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	7	6
21453	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	7	6
21453	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21453	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21453	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21453	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21453	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21453	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	14	12
21453	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21453	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21453	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	7	6
21453	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	7	6
21453	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21453	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21454	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21454	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21454	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
21454	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
21454	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		5
21461	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21461	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21461	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21461	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21461	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	6	6
21461	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21461	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21461	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12
21461	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	14	12
21461	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21461	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21461	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	7	6
21461	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21461	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21461	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	7	6
21461	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	7	6
21461	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	7	6
21461	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	7	6
21461	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	359.1125	1	0
21461	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	45.8725	1	0
21461	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	54.795	4	0
21461	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	1	0
21461	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	7	6
21461	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21461	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21461	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21461	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21461	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21461	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
21461	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21461	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	14	12
21461	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
21461	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21461	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	7	6
21461	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	7	6
21461	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21461	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21461	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21462	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21462	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
21462	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21462	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21462	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21462	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	6	6
21462	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21462	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21462	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	14	12
21462	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	14	12
21462	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21462	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21462	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	7	6
21462	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21462	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21462	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	7	6
21462	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	7	6
21462	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	7	6
21462	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	7	6
21462	CMS	"Accessory, Procedure"	SD193	"plate, surgical, rigid comminuted fracture"	item	359.1125	1	0
21462	CMS	"Accessory, Procedure"	SD194	"plate, surgical, rigid comminuted fracture, template"	item	45.8725	1	0
21462	CMS	"Accessory, Procedure"	SD198	"screw, surgical, lag, 2.4mm x 26mm"	item	54.795	4	0
21462	CMS	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	1	0
21462	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	7	6
21462	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21462	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21462	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21462	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21462	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	90	90
21462	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21462	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
21462	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21462	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21462	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21462	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	14	12
21462	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21462	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21462	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	7	6
21462	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	7	6
21462	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21462	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
21462	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21465	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21465	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
21465	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
21465	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21470	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
21470	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
21470	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21480	Sep04 P	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
21480	Sep04 P	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21480	Sep04 P	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21480	Sep04 P	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
21480	Sep04 P	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21480	Sep04 P	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
21480	Sep04 P	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
21480	Sep04 P	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
21480	Sep04 P	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
21480	Sep04 P	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21480	Sep04 P	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	2	0
21480	Sep04 P	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
21480	Sep04 P	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21480	Sep04 P	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21485	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21485	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21485	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21485	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21485	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	5	5
21485	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21485	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21485	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21485	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21485	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21485	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
21485	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	6	5
21485	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21485	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21485	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	6	5
21485	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	5
21485	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	5
21485	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	6	5
21485	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	6	5
21485	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21485	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21485	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21485	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21485	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21485	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	12	10
21485	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21485	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21485	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	6	5
21485	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	6	5
21485	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
21485	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21490	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		6
21497	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21497	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
21497	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21497	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21497	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	6	5
21497	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
21497	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21497	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	12	10
21497	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	12	10
21497	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21497	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	6	5
21497	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	1
21497	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	1
21497	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	6	5
21497	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	6	5
21497	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	5
21497	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	6	5
21497	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	6	5
21497	CMS	"Cutters, Closures, Cautery"	SF001	arch bar	inch	0.695	12	0
21497	CMS	"Cutters, Closures, Cautery"	SF025	dental elastics	item	0.0235	120	90
21497	CMS	"Cutters, Closures, Cautery"	SF043	"wire, surgical steel"	foot	0.1385	12	0
21497	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	12	6
21497	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	6	5
21497	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	10
21497	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	2
21497	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	6	5
21497	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	6	5
21497	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	1
21501	Jan04 19	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21501	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
21501	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21501	Jan04 19	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21501	Jan04 19	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21501	Jan04 19	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
21501	Jan04 19	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	5	0
21501	Jan04 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
21501	Jan04 19	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21501	Jan04 19	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21501	Jan04 19	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21501	Jan04 19	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
21501	Jan04 19	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
21501	Jan04 19	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
21501	Jan04 19	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
21501	Jan04 19	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21501	Jan04 19	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21501	Jan04 19	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
21501	Jan04 19	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21501	Jan04 19	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21501	Jan04 19	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	3	0
21501	Jan04 19	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21501	Jan04 19	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
21501	Jan04 19	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21501	Jan04 19	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
21501	Jan04 19	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
21501	Jan04 19	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
21501	Jan04 19	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21501	Jan04 19	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
21501	Jan04 19	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	40	0
21501	Jan04 19	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21501	Jan04 19	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21501	Jan04 19	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21502	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21510	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21550	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
21550	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
21550	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21550	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
21550	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21550	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
21550	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
21550	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
21550	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
21550	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
21550	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21550	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21550	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21550	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
21550	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21550	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21550	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21550	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
21550	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21550	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21550	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	3	0
21550	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21550	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21550	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
21550	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21550	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21550	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
21550	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21552	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21552	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21554	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21554	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21555	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21555	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21555	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21555	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21555	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
21555	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
21555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21555	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
21555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
21555	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
21555	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
21555	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21555	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
21555	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21555	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21555	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21555	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21555	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21555	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21555	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
21555	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21555	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
21555	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
21555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
21555	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21555	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21555	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21556	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21556	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21557	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21557	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21558	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21558	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21615	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
21616	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21627	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21627	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
21632	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21685	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21685	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
21685	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
21685	Sep02	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
21685	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
21685	Sep02	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
21685	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
21685	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
21685	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
21685	Sep02	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
21685	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		6
21685	Sep02	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
21685	Sep02	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
21685	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		4
21685	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
21700	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
21700	Mar04 U	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21705	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21720	Mar04 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
21720	Mar04 U	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
21725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21725	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21740	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
21750	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
21825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
21920	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
21920	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
21920	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
21920	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
21920	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21920	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
21920	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
21920	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
21920	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
21920	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
21920	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21920	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
21920	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
21920	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
21920	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
21920	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21920	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21920	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
21920	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21920	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21920	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	3	0
21920	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
21920	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	0
21920	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
21920	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
21920	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21920	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
21920	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21925	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
21925	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21925	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
21925	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21925	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21925	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
21925	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
21925	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
21925	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
21925	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21925	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21925	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21925	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
21925	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21925	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
21925	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
21925	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
21925	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21925	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
21925	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
21930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
21930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
21930	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
21930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
21930	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
21930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
21930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
21930	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
21930	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
21930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
21930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
21930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
21930	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
21930	CMS	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
21930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
21930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
21930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
21930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
21930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
21930	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
21930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
21930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
21930	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
21930	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
21930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
21930	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
21930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
21930	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
21930	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
21930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
21930	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
21930	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
21931	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
21931	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21932	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21932	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21933	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
21933	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21935	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21935	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
21936	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
21936	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22010	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22010	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22015	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22015	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22114	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22114	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22206	CPT08 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22206	CPT08 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22207	CPT08 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22207	CPT08 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22210	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22212	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22214	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22214	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22222	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22224	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22224	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22310	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	1.5
22315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
22315	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
22315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	0
22315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
22315	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	5	0
22318	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22318	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22319	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22319	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22325	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22325	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22326	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22327	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22327	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22327	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22510	Mod sed	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	764.62	1	0
22510	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
22510	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
22510	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
22510	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
22510	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22510	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22510	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
22510	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
22510	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
22510	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
22510	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22510	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
22510	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
22510	Mod sed	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	74.59	1	0
22510	Mod sed	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	78.0512	1	0
22510	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
22510	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
22510	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22511	Mod sed	"Kit, Pack, Tray"	SA039	"kit, vertebroplasty (LP2, CDO)"	kit	764.62	1	0
22511	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
22511	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
22511	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
22511	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
22511	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22511	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22511	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
22511	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
22511	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
22511	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
22511	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22511	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
22511	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
22511	Mod sed	"Pharmacy, Rx"	SH015	"barium sulfate, sterile (Biotrace) (6gm uou)"	item	74.59	1	0
22511	Mod sed	"Pharmacy, Rx"	SH020	"bone cement (full dose pack uou) (Osteobond, Simplex)"	item	78.0512	1	0
22511	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
22511	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
22511	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22512	Mod sed	"Accessory, Procedure"	SD292	10g IVAS drill		125.54	1	0
22512	Mod sed	"Accessory, Procedure"	SD293	10g cannulae		72.07	2	0
22512	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	219.07	1	0
22513	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
22513	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
22513	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
22513	Mod sed	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3873.95	1	0
22513	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
22513	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
22513	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22513	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22513	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
22513	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
22513	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
22513	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
22513	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22513	Mod sed	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	149.2125	1	0
22513	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
22513	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
22513	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
22513	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	219.07	1	0
22513	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
22513	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22514	Mod sed	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
22514	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
22514	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
22514	Mod sed	"Kit, Pack, Tray"	SA111	"Kyphoplasty kit, first fracture"	kit	3873.95	1	0
22514	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
22514	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
22514	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22514	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22514	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
22514	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
22514	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
22514	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
22514	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22514	Mod sed	"Cutters, Closures, Cautery"	SF055	Bone biopsy device	item	149.2125	1	0
22514	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
22514	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
22514	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
22514	Mod sed	"Pharmacy, Rx"	SH100	Bone cement with mixer	item	219.07	1	0
22514	Mod sed	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
22514	Mod sed	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22515	Mod sed	"Kit, Pack, Tray"	SA112	"Kyphoplasty kit, additional fracture"	kit	2483.6025	1	0
22526	CMS	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
22526	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
22526	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
22526	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
22526	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22526	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22526	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
22526	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
22526	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
22526	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
22526	CMS	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0
22526	CMS	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0
22526	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22526	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
22526	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
22526	CMS	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
22526	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	0
22526	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22527	Mod sed	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
22527	Mod sed	"Accessory, Procedure"	SD222	"catheter, intradiscal (spineCATH)"	item	1380	1	0
22527	Mod sed	"Accessory, Procedure"	SD231	"needle, introducer (spineCATH)"	item	69	1	0
22527	Mod sed	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	0
22532	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22532	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
22533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22533	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
22548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22548	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22551	CPT11 26	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22551	CPT11 26	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22554	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22556	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22558	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22586	CPT13 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22586	CPT13 CMS	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22595	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22610	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22612	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22633	CPT12 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22633	CPT12 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22804	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22808	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22808	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22812	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
22812	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22818	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22818	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22819	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22849	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22849	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22849	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22852	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22852	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
22855	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
22856	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22856	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22857	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22857	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22861	CPT09 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22861	CPT09 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22862	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22862	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22864	CPT09 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22864	CPT09 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22865	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22865	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
22867	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22867	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22869	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
22869	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22900	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22900	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22901	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
22901	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22902	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
22902	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
22902	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
22902	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
22902	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
22902	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
22902	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
22902	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
22902	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
22902	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
22902	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
22902	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
22902	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
22902	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
22902	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
22902	CPT10 27	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
22902	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
22902	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
22902	CPT10 27	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
22902	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
22902	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
22902	CPT10 27	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
22902	CPT10 27	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
22902	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
22902	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
22902	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
22902	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
22902	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
22903	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
22903	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22904	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22904	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
22905	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
22905	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23000	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23000	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
23000	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23000	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
23000	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23000	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23000	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23000	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23000	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23000	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23000	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23000	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
23000	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
23000	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23000	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23000	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23000	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
23000	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23000	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23000	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23000	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23000	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
23030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23030	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
23030	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23030	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23030	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23030	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23030	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23030	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
23030	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
23030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23030	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23030	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23030	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
23031	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23031	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
23031	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23031	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
23031	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23031	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23031	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23031	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23031	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23031	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23031	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23031	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
23031	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23031	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23031	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23031	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23031	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
23031	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23031	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23031	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23031	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23031	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23031	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
23035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23044	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23044	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
23065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
23065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
23065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
23065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
23065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
23066	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23066	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
23066	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23066	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
23066	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23066	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23066	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23066	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23066	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23066	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23066	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23066	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
23066	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
23066	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23066	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23066	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23066	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
23066	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23066	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23066	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23066	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23066	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
23071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
23073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23075	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23075	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
23075	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23075	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
23075	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
23075	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
23075	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
23075	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
23075	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
23075	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
23075	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
23075	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
23075	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
23075	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
23075	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23075	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
23075	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
23075	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23075	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23075	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
23075	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
23075	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23075	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
23075	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23075	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
23075	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
23075	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
23075	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
23075	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
23076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
23076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23078	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23078	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
23101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23105	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23106	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23107	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23120	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23120	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23146	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23155	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23156	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23170	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23172	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23174	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23174	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23180	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23182	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23184	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23190	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23195	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23195	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23200	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23200	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23210	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23210	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23220	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23220	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
23330	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23330	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
23330	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
23330	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
23330	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23330	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23330	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23330	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
23330	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23330	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23330	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23330	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
23330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23330	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23330	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23330	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23330	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
23330	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
23333	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
23333	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
23334	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23334	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
23335	CPT14 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23335	CPT14 May 3	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
23350	CPT13 MD time	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
23350	CPT13 MD time	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
23350	CPT13 MD time	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
23350	CPT13 MD time	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
23350	CPT13 MD time	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
23395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23395	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23397	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23397	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23405	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23410	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23410	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23412	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23412	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23415	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23415	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23420	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23420	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23430	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23430	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23450	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23455	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23460	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23462	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23462	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23465	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23466	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23466	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23470	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23472	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23472	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23473	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23473	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23474	CPT13 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23474	CPT13 May 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23480	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23485	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23485	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23490	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	2.5
23505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
23505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23515	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23515	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
23525	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
23525	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23525	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23525	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23532	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23532	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23540	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
23545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
23545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23552	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	2.5
23570	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
23575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
23575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
23575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23585	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
23600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
23600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
23600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
23605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
23605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
23605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
23605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
23605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23615	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23615	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23616	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23616	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23620	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
23625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
23625	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23630	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23630	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
23650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23650	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23650	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23655	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
23665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23670	RUC08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23670	RUC08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
23675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
23675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
23675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
23680	CPT08 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23680	CPT08 9	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23700	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
23800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23802	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
23900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
23921	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
23921	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
23930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
23930	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23930	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
23930	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23930	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23930	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23930	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23930	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
23930	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23930	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	3	0
23930	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
23930	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23930	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
23930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
23930	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23930	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23930	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23930	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23930	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23930	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
23931	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
23931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
23931	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
23931	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
23931	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
23931	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
23931	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
23931	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
23931	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
23931	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
23931	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
23931	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
23931	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
23931	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
23931	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
23931	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
23931	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
23931	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
23931	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
23931	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
23931	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
23931	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
23931	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
23931	CMS	Lab	SL146	tubed culture media	item	0.8668	1	0
23935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
23935	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24006	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24006	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
24065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
24065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
24065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
24065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
24065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
24065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
24065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
24065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
24065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
24065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
24065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
24065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
24065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
24065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
24066	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
24066	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
24066	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
24066	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
24066	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
24066	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
24066	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
24066	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24066	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24066	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
24066	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
24066	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
24066	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
24066	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
24066	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
24066	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
24066	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
24066	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
24066	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24066	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
24066	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
24066	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
24066	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
24071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
24071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24075	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
24075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
24075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
24075	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
24075	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
24075	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
24075	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
24075	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
24075	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
24075	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24075	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.6885	1	0
24075	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
24075	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
24075	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
24075	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
24075	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
24075	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
24075	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
24075	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
24075	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
24075	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
24075	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
24075	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
24075	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
24075	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
24075	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
24076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24079	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24079	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24101	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24105	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24115	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24116	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24134	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24134	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24138	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
24138	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24147	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24149	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
24149	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24150	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24150	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24152	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24152	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24155	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24160	CPT14 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24160	CPT14 May 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
24164	CPT14 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24164	CPT14 May 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
24200	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
24200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
24200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
24200	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
24200	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
24200	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
24200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
24200	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
24200	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
24200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
24200	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
24200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
24200	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
24200	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
24200	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
24201	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
24201	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
24201	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
24201	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
24201	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
24201	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
24201	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
24201	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24201	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24201	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
24201	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
24201	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
24201	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
24201	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
24201	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
24201	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
24201	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
24201	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
24201	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24201	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
24201	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
24201	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
24201	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
24220	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
24220	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
24220	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
24220	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
24220	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
24300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
24300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
24310	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24330	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24331	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24340	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24341	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24342	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24342	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24343	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24343	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24344	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
24344	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24346	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
24346	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24357	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
24357	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24358	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
24358	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24359	CPT08 10	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
24359	CPT08 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24361	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24362	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24362	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24363	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24363	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24365	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24365	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24366	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24366	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24370	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24370	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24371	CPT13 May 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24371	CPT13 May 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24420	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		36
24420	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		720
24420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		60
24420	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
24430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24435	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24495	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
24495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24495	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		5
24495	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		5
24495	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
24495	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		5
24495	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
24495	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		10
24495	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		900
24495	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		380
24495	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
24498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
24500	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24500	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24500	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
24505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
24530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
24535	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24535	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24538	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
24538	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24538	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
24538	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
24538	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
24538	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
24538	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
24538	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
24538	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
24538	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
24545	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24545	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24546	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24546	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
24560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
24565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24566	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
24566	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
24566	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
24566	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
24566	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
24566	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
24566	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
24566	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
24566	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
24566	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
24566	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
24566	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
24566	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
24575	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24575	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
24576	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24576	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24577	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
24577	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24577	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24577	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24577	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24579	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24579	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24582	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24582	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
24582	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
24582	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
24582	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
24582	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
24582	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
24582	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
24582	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
24582	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
24582	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
24582	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
24582	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
24582	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
24586	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24586	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24587	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
24600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24615	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24635	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24635	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24640	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
24640	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	1	0
24640	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
24640	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	1	0
24640	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	60	0
24650	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
24650	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24650	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24650	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24655	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
24655	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24655	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24655	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24655	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24655	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24655	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24665	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
24665	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
24666	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24666	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24666	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
24666	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
24670	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
24670	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24670	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24670	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
24675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
24675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
24675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
24675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
24675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
24675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
24685	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24685	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24685	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
24685	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
24800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24920	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24925	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24930	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24930	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
24931	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
24935	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
24935	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
24935	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		36
24935	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		720
24935	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		60
24935	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
25000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25020	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
25020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25020	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		5
25020	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		5
25020	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
25020	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		5
25020	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
25020	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		10
25020	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		900
25020	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		380
25020	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
25023	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		7
25023	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25023	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		7
25023	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		7
25023	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		7
25023	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		7
25023	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
25023	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		14
25023	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		1260
25023	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		530
25023	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		14
25024	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25024	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25025	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25028	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
25028	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25028	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		5
25028	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		5
25028	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
25028	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		5
25028	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
25028	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		10
25028	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		900
25028	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		380
25028	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
25031	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25031	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25065	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
25065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
25065	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
25065	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
25065	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
25065	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
25065	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
25065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25065	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
25065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
25065	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
25065	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
25065	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
25065	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
25065	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
25065	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
25065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
25066	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25066	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25071	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
25071	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25073	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25073	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25075	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
25075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
25075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
25075	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
25075	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
25075	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
25075	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
25075	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
25075	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
25075	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25075	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.6885	1	0
25075	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
25075	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
25075	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
25075	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
25075	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
25075	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
25075	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
25075	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
25075	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
25075	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
25075	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
25075	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
25075	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
25075	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
25075	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
25076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25078	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25078	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25085	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25107	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25109	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25109	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25112	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25116	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25116	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25118	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25118	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25119	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25119	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25135	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25136	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25170	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25170	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25246	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
25246	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
25246	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
25246	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
25246	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
25248	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25248	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25250	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25259	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
25259	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25260	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25263	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25263	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25265	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25270	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25272	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25272	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25274	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25274	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25275	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
25290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25295	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25295	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25310	Feb08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25310	Feb08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25312	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25315	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25315	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25316	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25335	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25337	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25337	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25350	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25365	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25365	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
25370	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25375	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25375	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25390	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25391	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25391	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25392	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25393	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25393	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25394	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25394	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25405	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25415	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25426	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25430	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25431	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25431	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25441	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25441	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25443	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25443	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25444	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25444	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25446	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25446	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25447	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25447	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25455	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25490	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25492	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
25500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
25505	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25505	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25515	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25515	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
25520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25520	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25520	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25525	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25525	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25526	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25526	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
25530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25535	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
25535	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25535	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25535	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25535	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25535	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25535	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25545	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25545	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
25560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25565	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
25565	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25565	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25565	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25565	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25565	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25565	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25574	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25574	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25575	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25575	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	5
25600	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25605	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	5
25605	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25605	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25605	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25605	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25606	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25607	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25608	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25609	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
25622	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	3.5
25622	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25622	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25622	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25624	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
25624	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25624	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25624	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25624	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25624	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25624	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25628	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25628	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25630	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
25630	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25630	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25630	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
25635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25645	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25645	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
25650	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25650	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25650	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25651	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25670	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25671	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
25675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
25675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
25675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
25675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
25675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
25675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
25676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25676	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25685	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25685	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25695	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25805	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25820	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
25820	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
25820	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
25820	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
25820	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
25820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
25820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
25820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
25820	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
25825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25825	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25825	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
25825	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
25825	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
25825	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
25825	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
25825	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
25825	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
25825	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
25825	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
25830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25830	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25830	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
25830	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
25830	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
25830	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
25830	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
25830	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
25830	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
25830	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		0.083
25830	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
25830	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		62
25830	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
25830	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
25830	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
25830	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		172
25830	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
25900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
25900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25907	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25909	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25909	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
25915	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25920	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25920	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
25920	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
25920	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
25920	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
25920	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
25920	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
25920	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
25920	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
25920	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
25922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25922	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25922	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
25922	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
25922	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
25922	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
25922	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
25922	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
25922	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
25922	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
25922	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
25924	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25924	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25924	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
25924	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
25924	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
25924	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
25924	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
25924	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
25924	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
25924	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
25924	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
25927	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25927	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25927	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
25927	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
25927	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
25927	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
25927	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
25927	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
25927	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
25927	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
25927	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
25927	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
25927	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
25927	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
25927	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
25927	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
25929	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25929	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25931	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
25931	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
25931	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
25931	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
25931	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
25931	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
25931	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
25931	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
25931	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
25931	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
25931	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
25931	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
25931	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
25931	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
25931	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
25931	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26010	Mar02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
26010	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
26010	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	0	1
26010	Mar02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
26010	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
26010	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
26010	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	6	0
26010	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
26010	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
26010	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	3.3565	5	0
26010	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
26010	Mar02	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
26010	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
26010	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
26010	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
26010	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26010	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
26010	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
26010	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.663	2	1
26010	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
26010	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
26010	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	1	0
26010	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	1	0
26010	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	12	6
26010	Mar02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	1	0
26010	Mar02	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
26010	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
26010	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	5	0
26010	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
26010	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
26010	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26010	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
26010	Mar02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
26010	Mar02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
26010	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	130	10
26010	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	120	0
26010	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
26010	Mar02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
26010	Mar02	Lab	SL146	tubed culture media	item	0.8668	4	0
26010	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
26011	Mar02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
26011	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
26011	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	1
26011	Mar02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
26011	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
26011	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
26011	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	6	0
26011	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
26011	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
26011	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	3.3565	5	0
26011	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
26011	Mar02	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
26011	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
26011	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
26011	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
26011	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26011	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
26011	Mar02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
26011	Mar02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
26011	Mar02	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
26011	Mar02	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
26011	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
26011	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
26011	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.663	2	1
26011	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
26011	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
26011	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	1	0
26011	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	1	0
26011	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	12	6
26011	Mar02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	1	0
26011	Mar02	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
26011	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
26011	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	5	0
26011	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
26011	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
26011	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26011	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
26011	Mar02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
26011	Mar02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
26011	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	130	10
26011	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	120	0
26011	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
26011	Mar02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
26011	Mar02	Lab	SL146	tubed culture media	item	0.8668	4	0
26011	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
26020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26020	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26020	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26020	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26020	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26020	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26020	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26025	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26025	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26025	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26025	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26025	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26025	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26025	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26030	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26030	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26030	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26030	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26030	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26030	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26030	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26034	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26034	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26034	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26034	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26034	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26034	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26034	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26034	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26035	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26035	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26035	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26035	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26035	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26035	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26035	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26037	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26037	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26037	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26037	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26037	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26037	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26037	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26040	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26040	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26040	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26040	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26040	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26045	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26045	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26045	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26045	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26045	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26045	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26055	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26055	Mar02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
26055	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
26055	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
26055	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
26055	Mar02	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
26055	Mar02	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
26055	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
26055	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
26055	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
26055	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	1
26055	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
26055	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	3.3565	1	0
26055	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
26055	Mar02	"Gown, Drape"	SB038	safety glasses	item	2.6565	3	0
26055	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
26055	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
26055	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
26055	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26055	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
26055	Mar02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	0
26055	Mar02	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
26055	Mar02	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
26055	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	3	0
26055	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
26055	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.663	2	1
26055	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
26055	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
26055	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
26055	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	1	0
26055	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	1	0
26055	Mar02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598	3	0
26055	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	23	3
26055	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
26055	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	1	0
26055	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
26055	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
26055	Mar02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
26055	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26055	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
26055	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
26055	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	120	0
26055	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
26055	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
26060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
26060	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26060	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26060	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26060	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26060	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26060	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26070	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26070	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26070	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26070	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26070	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26070	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26070	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26075	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26075	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26075	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26075	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26075	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26075	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26075	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26080	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26080	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26080	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26080	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26080	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26080	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26100	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26100	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26100	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26100	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26105	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26105	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26105	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26105	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26110	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26110	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26110	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26110	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26111	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
26111	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26113	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26113	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26115	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
26115	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
26115	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
26115	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
26115	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
26115	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
26115	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
26115	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
26115	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
26115	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26115	CPT10 rv	"Hypodermic, IV"	SC003	arm board	item	0.6885	1	0
26115	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
26115	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
26115	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
26115	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
26115	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
26115	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26115	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
26115	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
26115	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
26115	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26115	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
26115	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
26115	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
26115	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
26115	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
26116	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26116	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26117	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26117	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26118	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26118	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26121	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26121	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26121	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26121	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26121	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26121	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26121	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26123	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26123	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26123	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26123	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26123	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26123	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26123	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26130	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26130	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26130	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26130	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26130	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26135	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26135	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26135	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26135	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26135	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26135	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26140	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26140	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26140	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26140	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26140	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26145	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26145	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26145	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26145	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		2
26145	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26160	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26160	Mar02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
26160	Mar02	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
26160	Mar02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
26160	Mar02	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
26160	Mar02	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
26160	Mar02	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
26160	Mar02	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
26160	Mar02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
26160	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
26160	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
26160	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
26160	Mar02	"Gown, Drape"	SB031	"lap sponge, sterile, 18inx18in (5 pack uou)"	item	3.3565	1	0
26160	Mar02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
26160	Mar02	"Gown, Drape"	SB038	safety glasses	item	2.6565	3	0
26160	Mar02	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
26160	Mar02	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
26160	Mar02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
26160	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26160	Mar02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
26160	Mar02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	0
26160	Mar02	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
26160	Mar02	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
26160	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	3	0
26160	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
26160	Mar02	"Wound Care, Dressings"	SG010	"bandage, elastic wrap 2in (Ace)"	item	0.663	2	1
26160	Mar02	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
26160	Mar02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	1
26160	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
26160	Mar02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	1	0
26160	Mar02	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	1	0
26160	Mar02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598	3	0
26160	Mar02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	23	3
26160	Mar02	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
26160	Mar02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	12
26160	Mar02	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	1	0
26160	Mar02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
26160	Mar02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
26160	Mar02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
26160	Mar02	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26160	Mar02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
26160	Mar02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	120	0
26160	Mar02	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	120	0
26160	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
26160	Mar02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
26160	Mar02	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
26170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26170	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26170	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26170	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26170	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26170	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26180	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26180	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26180	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26180	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26180	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26185	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26185	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26185	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26185	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26185	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26200	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26200	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26200	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26200	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26200	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26205	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26205	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26205	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26205	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26205	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		9
26205	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
26210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26210	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26210	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26210	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26210	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		3
26210	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26215	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26215	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26215	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26215	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		9
26215	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
26230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26230	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26230	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26230	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26230	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26230	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26230	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26235	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26235	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26235	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26235	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26235	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26235	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26236	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26236	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		1
26236	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26236	Sep02	"Wound Care, Dressings"	SG011	"bandage, elastic wrap 3in (Ace)"	item	0.859		1
26236	Sep02	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645		1
26236	Sep02	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048		6
26236	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
26250	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26250	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26260	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26260	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26262	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26262	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26341	CPT12 May 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
26341	CPT12 May 2	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
26341	CPT12 May 2	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
26341	CPT12 May 2	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26341	CPT12 May 2	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26341	CPT12 May 2	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
26341	CPT12 May 2	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
26341	CPT12 May 2	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
26341	CPT12 May 2	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26341	CPT12 May 2	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
26350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26350	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26350	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26350	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26350	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26350	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26350	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26350	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26350	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26350	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26350	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26350	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26350	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26350	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26350	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26350	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26352	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26352	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26352	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26352	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26352	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26352	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26352	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26352	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26352	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26352	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26352	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26352	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26352	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26352	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26352	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26356	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26356	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26356	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26356	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
26356	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
26356	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
26356	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26356	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
26356	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26356	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
26356	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26356	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
26356	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26356	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
26357	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26357	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26357	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26357	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
26357	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
26357	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
26357	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26357	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
26357	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26357	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
26357	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26357	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
26357	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26357	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
26358	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26358	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26358	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26358	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
26358	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
26358	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
26358	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26358	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
26358	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26358	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
26358	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26358	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
26358	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26358	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
26370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26370	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26370	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26370	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26370	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26370	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26370	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26370	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26370	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26370	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26370	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26370	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26370	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26370	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26370	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26370	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26372	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26372	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26372	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26372	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26372	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26372	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26372	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26372	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26372	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26372	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26372	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26372	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26372	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26372	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26372	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26372	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26373	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26373	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26373	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26373	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26373	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26373	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26373	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26373	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26373	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26373	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26373	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26373	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26373	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26373	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26373	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26373	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26390	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26390	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26390	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26390	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26390	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26390	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26390	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26390	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26390	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26390	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26390	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26390	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26390	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26390	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26392	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26392	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26392	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26392	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26392	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26392	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26392	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26392	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26392	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26392	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26392	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26392	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26392	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26392	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26392	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26410	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26410	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26410	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26410	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26410	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26410	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26410	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26410	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26410	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26410	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26410	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26410	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26410	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26410	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26412	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26412	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26412	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26412	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26412	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26412	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26412	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26412	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26412	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26412	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26412	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26412	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26412	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26412	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26412	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26412	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26415	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26415	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26415	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26415	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26415	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26415	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26415	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26415	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26415	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26415	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26415	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26415	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26415	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26415	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26415	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26416	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26416	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26416	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26416	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26416	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26416	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26416	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26416	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26416	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26416	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26416	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26416	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26416	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26416	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26416	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26418	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26418	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26418	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26418	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26418	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26418	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26418	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26418	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26418	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26418	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26418	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26418	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26418	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26418	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26418	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26418	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26420	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26420	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26420	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26420	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26420	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26420	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26420	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26420	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26420	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26420	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26420	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26420	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26426	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26428	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26428	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26428	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		8
26428	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
26428	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		12
26428	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26428	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26428	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26428	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26428	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		4
26428	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		4
26428	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26428	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26428	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26428	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26428	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26432	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26432	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26432	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26432	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26432	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26432	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26432	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26432	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26432	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26432	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26432	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26432	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26432	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26432	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26432	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26432	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26433	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26433	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26433	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26433	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26433	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26433	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26433	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26433	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26433	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26433	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26433	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26433	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26433	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26433	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26433	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26433	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26434	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26434	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26434	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26434	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26434	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26434	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26434	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26434	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26434	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26434	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26434	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26434	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26434	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26434	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26434	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26434	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26437	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26437	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26437	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26437	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26437	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26437	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26437	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26437	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26437	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26437	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26437	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26437	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26437	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26437	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26437	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26437	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26440	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26440	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26440	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26440	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26440	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26440	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26440	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26440	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26440	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26440	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26440	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26440	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26440	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26440	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26440	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26442	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26442	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26442	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26442	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26442	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26442	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26442	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26442	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26442	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26442	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26442	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26442	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26442	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26442	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26442	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26445	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26445	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26445	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26445	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26445	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26445	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26445	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26445	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26445	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26445	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26445	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26445	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26445	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26445	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26445	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26450	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
26450	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
26450	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
26450	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26450	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26450	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26450	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26450	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		1
26450	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26450	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26450	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26450	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26450	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26450	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26455	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26455	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
26455	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
26455	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
26455	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26455	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26455	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26455	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26455	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		1
26455	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26455	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26455	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26455	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26455	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26455	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26460	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
26460	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
26460	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
26460	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26460	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26460	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26460	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26460	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		1
26460	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26460	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26460	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26460	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26460	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26460	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26471	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26471	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26471	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26471	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26471	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26471	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26471	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26471	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26471	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26471	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26471	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26471	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26471	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26471	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26471	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26474	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26474	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26474	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26474	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26474	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26474	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26474	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26474	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26474	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26474	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26474	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26474	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26474	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26474	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26474	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26474	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26476	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26476	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26476	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26476	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26476	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26476	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26476	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26476	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26476	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26476	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26476	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26476	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26476	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26476	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26477	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26477	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26477	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26477	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26477	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26477	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26477	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26477	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26477	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26477	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26477	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26477	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26477	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26477	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26477	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26477	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26478	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26478	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26478	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26478	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26478	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26478	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26478	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26478	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26478	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26478	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26478	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26478	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26478	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26478	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26478	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26478	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26479	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26479	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26479	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26479	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26479	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26479	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26479	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26479	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26479	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26479	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26479	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26479	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26479	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26479	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26479	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26479	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26480	CPT10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26480	CPT10	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26480	CPT10	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26480	CPT10	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26480	CPT10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26480	CPT10	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26480	CPT10	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26480	CPT10	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26480	CPT10	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26480	CPT10	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26480	CPT10	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26480	CPT10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26480	CPT10	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26480	CPT10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26480	CPT10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26480	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26483	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26483	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26483	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26483	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26483	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26483	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26483	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26483	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26483	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26483	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26483	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26483	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26483	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26483	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26483	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26483	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26485	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26485	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26485	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26485	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26485	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26485	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26485	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26485	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26485	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26485	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26485	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26485	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26485	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26485	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26485	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26485	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26489	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26489	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26489	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26489	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26489	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26489	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26489	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26489	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26489	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26489	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26489	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26489	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26489	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26489	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26489	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26489	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26490	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26490	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26490	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26490	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26490	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26490	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26490	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26490	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26490	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26490	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26490	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26490	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26490	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26490	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26492	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26492	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26492	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26492	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26492	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26492	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26492	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26492	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26492	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26492	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26492	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26492	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26492	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26492	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26492	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26494	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26494	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26494	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26494	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26494	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26494	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26494	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26494	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26494	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26494	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26494	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26494	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26494	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26494	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26494	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26494	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26496	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26496	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26496	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26496	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26496	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26496	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26496	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26496	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26496	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26496	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26496	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26496	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26496	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26496	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26497	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26497	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26497	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26497	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26497	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26497	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26497	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26497	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26497	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26497	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26497	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26497	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26497	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26497	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26497	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26497	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26498	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26498	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26498	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26498	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26498	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26498	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26498	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26498	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26498	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26498	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26498	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26498	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26498	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26498	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26499	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26499	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26499	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26499	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26499	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26499	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26499	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26499	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26499	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26499	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26499	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26499	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26499	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26499	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26499	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26499	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26500	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26500	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26500	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26500	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26500	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26500	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26500	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26500	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26500	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26500	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26500	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26500	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26502	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26502	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26502	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26502	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26502	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26502	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26502	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26502	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26502	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26502	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26502	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26502	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26502	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26502	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26508	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26508	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26508	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26508	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26508	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26508	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26508	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26508	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26508	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26508	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26508	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26508	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26508	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26508	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26508	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26508	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26510	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26510	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26510	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26510	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26510	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26510	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26510	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26510	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26510	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26510	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26510	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26510	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26510	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26510	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26516	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26516	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26516	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26516	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26516	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26516	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26516	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26516	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26516	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26516	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26516	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26516	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26516	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26516	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26517	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26517	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26517	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26517	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26517	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26517	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26517	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26517	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26517	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26517	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26517	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26517	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26517	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26517	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26517	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26517	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26518	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26518	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26518	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26518	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26518	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26518	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26518	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26518	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26518	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26518	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26518	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26518	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26518	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26518	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26520	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26520	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26520	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26520	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26520	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26520	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26520	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26520	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26520	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26520	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26525	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26525	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26525	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26525	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26525	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26525	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26525	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26525	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26525	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26525	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26525	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26525	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26525	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26525	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		0.5
26531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		0.5
26535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		0.5
26536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26536	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26536	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26536	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26536	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26536	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26536	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26536	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26536	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26536	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26536	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26536	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26536	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26536	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26540	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26540	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26540	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26540	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26540	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26540	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26540	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26540	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26540	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26540	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26541	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26541	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26541	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26541	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26541	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26541	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26541	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26541	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26541	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26541	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26541	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26541	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26541	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26541	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26541	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26542	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26542	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26542	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26542	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26542	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26542	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26542	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26542	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26542	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26542	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26542	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26542	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26542	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26542	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26542	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26542	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26545	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26545	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26545	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26545	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26545	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26545	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26545	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26545	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26545	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26545	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26545	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26546	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
26546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26546	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26546	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26546	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26546	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26546	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26546	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26546	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26546	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26546	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26546	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26546	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26546	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26546	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26546	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26548	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26548	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26548	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26548	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26548	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26548	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26548	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26548	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26548	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26548	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26548	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26548	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26548	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26548	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26550	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26550	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26550	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26550	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26550	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26550	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26550	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26550	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26550	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26550	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26550	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26550	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26551	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
26551	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
26551	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26551	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26551	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26551	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26551	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26551	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26551	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26551	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26551	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26551	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26551	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26551	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26551	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26551	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26553	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
26553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
26553	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26553	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26553	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26553	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26553	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26553	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26553	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26553	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26553	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26553	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26553	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26553	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26553	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26553	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26554	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
26554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
26554	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26554	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26554	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26554	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26554	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26554	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26554	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26554	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26554	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26554	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26554	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26554	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26554	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26554	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26555	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26555	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26555	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26555	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26555	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26555	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26555	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26555	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26555	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26555	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26555	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26555	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26555	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26555	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26556	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		2
26556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
26556	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26556	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26556	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26556	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26556	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26556	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26556	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26556	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26556	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26556	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26556	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26556	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26556	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26556	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26560	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26560	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26560	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26560	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26560	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26560	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26560	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26560	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26560	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26560	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26560	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26560	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26560	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26560	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26560	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26561	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26561	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26561	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26561	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26561	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26561	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26561	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26561	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26561	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26561	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26561	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26561	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26561	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26561	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26561	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26562	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26562	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26562	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26562	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26562	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26562	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26562	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26562	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26562	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26562	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26562	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26562	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26562	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26562	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26562	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26565	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26565	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26565	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26565	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26565	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26565	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26565	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26565	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26565	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26565	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26565	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26565	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26565	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26565	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26567	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26567	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26567	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26567	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26567	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26567	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26567	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26567	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26567	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26567	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26567	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26567	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26567	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26567	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26567	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26567	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26568	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26568	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26568	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		10
26568	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
26568	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		15
26568	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26568	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26568	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26568	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26568	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		5
26568	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		5
26568	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26568	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26568	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26568	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26568	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26580	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26580	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26580	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26580	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26580	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26580	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26580	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26580	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26580	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26580	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26580	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26580	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26580	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
26587	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26590	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26590	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26590	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26590	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26590	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26590	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26590	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26590	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26590	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26590	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26590	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26590	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26590	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26590	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26590	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26591	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26591	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26591	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26591	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26591	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26591	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26591	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26591	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26591	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26591	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26591	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26591	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26591	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26591	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26591	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26593	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26593	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26593	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26593	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26593	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26593	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26593	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26593	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26593	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26593	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26593	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26593	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26593	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26593	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26593	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26593	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26596	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26596	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
26596	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
26596	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
26596	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26596	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26596	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26596	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26596	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		1
26596	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
26596	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26596	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26596	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26596	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26596	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26600	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
26600	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26600	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
26605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26607	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		5
26607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
26607	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		5
26607	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		5
26607	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
26607	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		10
26607	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
26607	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
26607	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
26608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26608	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26608	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26608	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26608	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26608	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26608	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26608	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26608	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26608	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26608	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26608	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26608	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26608	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26615	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26615	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26615	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26615	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26641	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
26641	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26641	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26641	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26641	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26641	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26641	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26645	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
26645	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26645	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26645	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26645	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26645	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26645	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26650	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26650	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26650	CPT08 rv	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26650	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26650	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26650	CPT08 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26650	CPT08 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26650	CPT08 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26650	CPT08 rv	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26650	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26650	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26650	CPT08 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26650	CPT08 rv	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26650	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26665	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26665	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26665	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26665	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26670	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26670	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26670	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26670	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26670	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26670	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26670	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26675	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
26675	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26675	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26675	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26675	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26675	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26675	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26676	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26676	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26676	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26676	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26676	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26676	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26676	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26676	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26676	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26676	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26676	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26676	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26676	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26685	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26685	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26685	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26685	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26686	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26686	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26686	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26686	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26700	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26700	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26705	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
26705	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26705	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26705	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26705	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26705	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26706	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26715	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26715	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26715	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26715	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26720	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	2
26720	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26720	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26725	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26725	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26725	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26725	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26725	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26725	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26725	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26725	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26725	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26727	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26727	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26727	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26727	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26727	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26727	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26727	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26727	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26727	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26727	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26727	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26727	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26727	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26727	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26735	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26735	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26735	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26735	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26740	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	2.5
26740	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26740	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26742	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26742	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26742	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26742	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26742	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26742	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26742	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26742	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26742	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26746	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26746	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26746	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26746	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	2
26750	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26750	RUC	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
26755	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26755	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26755	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26755	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26755	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26755	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26755	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26756	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26756	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26756	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26756	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26756	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26756	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26756	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26756	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26756	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26756	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26756	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26756	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26756	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26765	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26765	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26765	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26765	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26770	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
26770	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26770	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26775	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
26775	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
26775	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
26775	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
26775	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26775	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26775	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26775	CMS	"Wound Care, Dressings"	SG086	"splint, finger (metal-foam)"	item	1.7437	1	0
26775	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26776	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26776	Sep02	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753		1
26776	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
26776	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
26776	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
26776	Sep02	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393		1
26776	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
26776	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
26776	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
26776	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
26776	Sep02	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155		10
26776	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
26776	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
26785	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26785	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26785	CPT08 rv	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
26785	CPT08 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
26820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26820	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26820	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26820	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26820	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26820	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26820	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26820	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26820	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26820	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26820	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26820	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26820	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26841	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26841	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26841	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26841	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26841	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26841	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26841	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26841	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26841	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26841	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26841	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26841	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26841	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26841	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26841	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26842	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26842	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26842	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26842	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26842	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26842	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26842	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26842	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26842	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26842	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26842	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26842	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26842	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26842	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26842	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26843	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26843	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26843	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26843	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26843	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26843	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26843	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26843	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26843	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26843	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26843	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26843	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26843	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26843	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26843	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26844	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26844	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26844	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26844	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26844	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26844	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26844	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26844	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26844	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26844	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26844	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26844	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26844	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26844	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26844	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26844	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26850	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26850	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26850	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26850	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26850	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26850	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26850	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26850	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26850	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26850	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26850	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26850	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26850	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26850	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26852	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26852	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26852	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26852	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26852	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26852	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26852	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26852	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26852	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26852	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26852	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26852	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26852	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26852	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26852	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26860	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26860	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26860	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26860	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26860	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26860	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26860	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26860	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26860	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26860	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26860	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26860	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26860	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26860	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26862	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26862	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26862	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26862	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26862	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26862	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26862	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26862	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26862	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26862	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26862	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26862	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26862	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26862	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26862	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26910	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26910	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26910	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26910	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26910	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26910	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26910	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26910	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26910	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26910	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26910	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26910	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26910	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26910	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26910	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26910	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
26951	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26951	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26951	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26951	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26951	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26951	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26951	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26951	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26951	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26951	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26951	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26951	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26951	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26951	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26951	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26952	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
26952	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
26952	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
26952	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		9
26952	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		2
26952	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		2
26952	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
26952	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
26952	Sep02	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		3
26952	Sep02	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		3
26952	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
26952	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		4
26952	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
26952	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		150
26952	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
26990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26990	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26990	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
26990	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
26990	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		5
26990	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
26990	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
26990	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
26990	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
26990	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
26991	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
26991	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
26991	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
26991	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
26991	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
26991	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
26991	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
26991	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
26991	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
26991	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
26991	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
26991	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
26991	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
26991	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
26991	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	0
26991	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
26991	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
26991	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
26991	Aug03 5	Lab	SL146	tubed culture media	item	0.8668	1	0
26992	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
26992	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
26992	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
26992	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
26992	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		5
26992	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
26992	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
26992	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
26992	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
26992	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27003	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27003	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27005	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27006	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27006	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27025	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27027	CPT09 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27027	CPT09 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27027	CPT09 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		1
27027	CPT09 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
27030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27033	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27033	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27035	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27036	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27036	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
27036	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
27036	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
27036	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
27036	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
27036	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
27040	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
27040	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27040	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27040	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
27040	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
27040	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27040	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27040	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27040	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27040	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27040	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27040	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27040	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
27040	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27040	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27040	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27040	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
27041	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27041	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27043	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
27043	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27045	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27045	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27047	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27047	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
27047	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27047	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
27047	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
27047	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
27047	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27047	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
27047	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
27047	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
27047	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27047	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
27047	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
27047	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27047	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27047	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
27047	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
27047	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
27047	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
27047	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
27047	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27047	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
27047	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27047	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
27047	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
27047	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
27047	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
27047	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
27048	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27048	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27049	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27049	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27052	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27052	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27054	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27054	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27057	CPT09 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27057	CPT09 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27057	CPT09 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		1
27057	CPT09 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
27059	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27059	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27060	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27062	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27062	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27065	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27065	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27066	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27066	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27067	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27067	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27070	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27070	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27070	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
27070	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
27070	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		5
27070	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
27070	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
27070	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
27070	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
27070	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27071	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27071	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27071	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
27071	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
27071	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		5
27071	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
27071	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
27071	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
27071	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
27071	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27075	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27075	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27076	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27076	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27077	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27077	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27078	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27078	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27080	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27086	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27086	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
27086	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27086	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
27086	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
27086	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27086	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27086	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27086	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27086	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27086	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27086	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27086	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
27086	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27086	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27086	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27086	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27086	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
27086	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27086	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27086	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27086	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27087	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27087	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27090	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27090	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27091	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27091	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27093	Mar04 R	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
27093	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
27093	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27093	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
27093	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
27093	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
27095	Mar04 R	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
27095	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
27095	Mar04 R	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27095	Mar04 R	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
27095	Mar04 R	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
27095	Mar04 R	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
27095	Mar04 R	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
27096	CPT12 May 4	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
27096	CPT12 May 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
27096	CPT12 May 4	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
27096	CPT12 May 4	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
27096	CPT12 May 4	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27096	CPT12 May 4	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
27097	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27097	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27098	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27098	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27125	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27130	CPT14 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27130	CPT14 Mar 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27132	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27132	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27134	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27134	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27137	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27137	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27138	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27138	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27151	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27156	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27158	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27158	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27161	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27161	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27165	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27165	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27175	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27176	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27176	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27177	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27177	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27178	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27178	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27179	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27179	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27181	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27181	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27187	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27187	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27197	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27198	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
27202	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
27202	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27215	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27215	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27216	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27216	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27217	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27217	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27218	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27218	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27222	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27226	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27226	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27227	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27227	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27228	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27228	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27232	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
27235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27235	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27236	CPT14 Nov 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27236	CPT14 Nov 1	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27238	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27244	Oct08 hi	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27244	Oct08 hi	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27245	Oct08 hi	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27245	Oct08 hi	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27246	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
27248	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27248	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27253	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27253	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27254	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27254	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27256	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
27257	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
27258	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27258	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27259	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27259	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27267	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27268	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27269	CPT08 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27269	CPT08 12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27275	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
27279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27279	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27280	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27284	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27284	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
27290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27295	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27295	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27301	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27301	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27301	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27301	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27301	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27301	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27301	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27301	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27301	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27301	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27301	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27301	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27301	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27301	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
27301	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27301	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27301	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27301	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27301	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27301	Aug03 5	Lab	SL146	tubed culture media	item	0.8668	1	0
27303	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27303	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27306	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27306	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27307	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27323	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
27323	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27323	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
27323	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
27323	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27323	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27323	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27323	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27323	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27323	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27323	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
27323	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27323	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27323	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27323	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27323	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
27324	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27324	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27325	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27325	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
27326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27326	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
27327	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27327	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
27327	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27327	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
27327	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
27327	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
27327	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27327	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
27327	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
27327	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27327	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27327	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
27327	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
27327	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27327	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27327	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
27327	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
27327	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
27327	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27327	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
27327	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27327	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
27327	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
27327	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
27327	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
27327	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
27328	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27328	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27329	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27329	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27331	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27333	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27333	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27334	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27334	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27337	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
27337	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27339	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27339	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27347	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27347	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27350	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27356	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27356	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27357	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27357	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27360	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
27360	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
27360	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		5
27360	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		30
27360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
27360	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		600
27360	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
27360	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27364	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27364	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27365	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27365	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27372	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27372	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27372	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27372	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27372	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27372	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27372	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27372	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27372	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27372	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27372	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27372	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27372	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27372	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27372	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27372	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27372	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27372	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27372	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27372	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27372	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27372	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27372	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27380	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
27380	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
27380	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
27380	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
27380	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
27380	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
27380	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
27380	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
27380	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27381	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
27381	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
27381	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
27381	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
27381	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
27381	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
27381	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
27381	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
27381	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27385	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27385	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27385	CPT12 5 Year	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
27385	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
27385	CPT12 5 Year	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
27385	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
27385	CPT12 5 Year	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
27385	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		21
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		274
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		34
27385	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
27386	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27386	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27386	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
27386	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
27386	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
27386	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
27386	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
27386	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
27386	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
27386	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
27386	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
27390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27390	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27391	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27391	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27392	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27392	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27393	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27393	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27394	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27394	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27395	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27395	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27396	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27396	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27397	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27397	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27403	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27403	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27403	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		3
27405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27405	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27407	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27407	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27409	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27409	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27412	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27412	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
27415	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27415	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
27416	CPT08 14	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
27416	CPT08 14	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27418	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27418	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27422	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27422	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27424	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27424	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27427	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27427	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27428	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27428	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27429	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
27429	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27435	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27437	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27437	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27438	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27438	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27441	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27441	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27443	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27443	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27446	CPT14 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27446	CPT14 Mar 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27447	CPT14 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27447	CPT14 Mar 2	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27448	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27448	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27454	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27454	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27455	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27455	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27455	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
27455	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		2
27455	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
27455	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
27455	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
27455	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
27457	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27457	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27465	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27465	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27466	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27466	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27468	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27468	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27470	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27472	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27472	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27475	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27475	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27477	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27477	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27479	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27479	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27485	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27485	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27486	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27486	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27487	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27487	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27488	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27488	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27495	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27497	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27497	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27498	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27498	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27499	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27499	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27500	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27501	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27501	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27501	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27506	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27507	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27507	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27508	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
27508	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27508	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27508	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27509	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27509	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27509	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
27509	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
27509	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		3
27509	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
27509	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
27509	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		360
27509	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
27510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27511	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27511	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27513	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27513	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27514	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27514	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27516	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
27516	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27516	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27516	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27517	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4.5
27519	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27519	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27520	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	3.5
27520	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27520	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27524	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27524	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27530	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
27530	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27530	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27532	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27535	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27535	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
27538	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27540	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27540	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27550	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
27550	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27550	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27550	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27556	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27556	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27557	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27557	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27558	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27558	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27560	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27560	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27560	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27566	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27570	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
27580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27580	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27580	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
27580	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
27580	Sep02	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		4
27580	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		24
27580	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27580	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		480
27580	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
27590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27591	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27592	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27592	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27594	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27594	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27596	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27598	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27598	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27601	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27601	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27602	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27603	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27603	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27603	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27603	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27603	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27603	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27603	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27603	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27603	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27603	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27603	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27603	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27603	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27603	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27603	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27603	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27603	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27603	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27603	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27604	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27604	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
27604	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27604	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27604	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27604	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27604	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27604	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27604	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27604	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27604	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27604	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27604	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27604	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27604	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27604	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27604	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27604	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27604	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27605	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
27605	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27605	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27605	CMS	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27605	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27605	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27605	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27605	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
27605	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	3	0
27605	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
27605	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27605	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27605	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
27605	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	108	0
27605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
27605	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27605	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27605	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27605	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27606	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
27606	Mar03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27607	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27610	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27612	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27613	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27613	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
27613	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27613	RUC	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
27613	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
27613	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27613	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27613	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27613	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27613	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27613	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27613	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27613	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
27613	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27613	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27613	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27613	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27613	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
27614	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27614	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27614	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27614	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27614	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27614	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27614	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27614	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27614	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27614	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27614	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27614	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27614	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27614	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27614	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27614	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27614	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27614	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27614	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27614	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27614	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27615	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27615	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27616	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27616	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27618	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27618	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
27618	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27618	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
27618	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
27618	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
27618	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27618	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
27618	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
27618	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27618	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27618	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
27618	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
27618	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF010	"blade, surgical hair clipper"	item	5.8495	0.5	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27618	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27618	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
27618	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
27618	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
27618	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27618	CPT10 rv	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
27618	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27618	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
27618	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
27618	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
27618	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
27618	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
27619	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27619	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27626	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27630	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27630	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27630	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27630	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27630	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27630	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27630	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27630	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27630	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27630	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27630	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27630	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27630	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27630	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
27630	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27630	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27630	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27630	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27630	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27630	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27630	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27630	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27630	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27632	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
27632	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27634	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27634	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27635	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27635	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27637	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27637	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27638	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27638	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27640	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27641	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27645	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27645	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27646	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27646	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27647	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27647	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27648	Jan04 7	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
27648	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
27648	Jan04 7	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
27648	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
27648	Jan04 7	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
27650	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27650	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27654	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27654	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27656	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27656	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27656	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27656	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27656	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27656	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27656	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27656	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27656	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27656	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27656	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27656	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27656	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27656	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
27656	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27656	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27656	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27656	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27656	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27656	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27656	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27656	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27656	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27658	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27658	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27659	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
27659	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27664	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27664	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27665	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
27665	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27675	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27675	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27676	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27676	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27680	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27681	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27681	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27685	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
27685	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27685	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
27685	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
27685	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
27685	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
27685	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
27685	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27685	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27685	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
27685	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
27685	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
27685	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
27685	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
27685	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
27685	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
27685	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
27685	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
27685	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27685	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
27685	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
27685	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
27685	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
27686	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
27686	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27687	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27687	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27690	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27690	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27691	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27691	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27695	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27696	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27696	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27698	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27698	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27702	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27703	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27703	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27704	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27705	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27707	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27707	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27709	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27709	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27712	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27715	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27715	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27722	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27724	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27724	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27725	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27726	CPT08 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27727	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27727	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27730	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27730	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27732	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27732	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27734	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27734	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27740	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27740	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27742	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27742	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27745	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27745	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27750	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	3.5
27750	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27750	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27750	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27752	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27752	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27752	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27752	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27756	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27756	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27758	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27758	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27759	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27759	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
27760	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27760	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27760	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27762	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5.5	4.5
27762	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27766	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27766	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27767	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27767	CPT08 15	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27767	CPT08 15	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27768	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27769	CPT08 15	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
27769	CPT08 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27780	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	3.5
27780	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27780	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27780	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27781	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27781	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27781	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27781	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27784	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27784	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27786	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	3.5
27786	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27786	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27786	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27788	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27788	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27788	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27788	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27792	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27792	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27808	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	4
27808	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27808	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27808	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27810	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27810	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27810	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27814	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27814	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27816	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27816	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
27818	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27818	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27818	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27822	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27822	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27822	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
27822	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
27822	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
27822	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
27822	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27822	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27822	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
27823	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27823	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27823	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
27823	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
27823	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
27823	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
27823	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27823	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27823	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
27824	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27824	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27824	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27824	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27824	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27824	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27824	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
27825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27825	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27825	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27825	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
27825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
27825	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
27826	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27826	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27826	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
27826	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
27826	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
27826	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
27826	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27826	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27826	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
27827	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27827	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27827	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
27827	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
27827	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
27827	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
27827	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27827	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27827	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
27828	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27828	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27828	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
27828	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
27828	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
27828	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
27828	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
27828	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
27828	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
27829	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27829	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27829	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		12
27829	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
27829	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
27829	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
27829	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
27829	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
27829	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		9
27830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
27830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
27830	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
27830	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
27831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27832	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27832	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27846	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27848	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27860	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
27870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27871	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27871	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
27880	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27881	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27881	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27882	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27882	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27884	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27884	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27886	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27888	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27888	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27889	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27889	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
27892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27892	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27893	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
27893	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27894	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
27894	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
27X69	RUC	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
27X69	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
27X69	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
27X69	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
27X69	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
27X69	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
28001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28001	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28001	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28001	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28001	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28001	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28001	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28001	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28001	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985	1	0
28001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
28001	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28001	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28001	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28001	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28001	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28001	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
28001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28002	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28002	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28002	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28002	CMS	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28002	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28002	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28002	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28002	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28002	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28002	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28002	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28002	CMS	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985	1	0
28002	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28002	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	0.03	0
28002	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28002	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28002	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28002	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28002	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28002	CMS	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
28002	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28003	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28003	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28003	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28003	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28003	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28003	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28003	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28003	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28003	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28003	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28003	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28003	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28003	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28003	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28003	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28003	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28003	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28003	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28003	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28005	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
28005	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		6
28005	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
28008	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28008	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28008	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28008	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28008	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28008	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28008	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28008	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28008	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28008	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28008	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28008	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28008	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28008	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28008	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28008	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28008	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28008	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28008	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28010	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28010	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
28010	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28010	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28010	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28010	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28010	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28010	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28010	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28010	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28011	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28011	Aug03 5	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
28011	Aug03 5	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28011	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28011	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28011	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28011	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28011	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28011	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28011	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28020	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28020	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28020	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28020	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28020	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28020	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28020	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28020	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28020	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28020	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28020	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28020	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28020	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28020	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28020	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28020	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28020	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28020	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28020	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28020	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28020	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28020	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28020	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28022	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28022	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28022	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28022	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28022	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28022	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28022	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28022	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28022	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28022	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28022	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28022	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28022	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28022	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28022	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28022	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28022	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28022	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28022	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28022	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28022	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28022	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28022	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28024	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28024	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28024	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28024	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28024	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28024	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28024	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28024	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28024	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28024	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28024	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28024	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28024	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28024	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28024	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28024	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28024	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28024	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28024	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28024	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28024	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28024	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28024	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28035	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28035	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28035	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28035	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28035	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28035	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28035	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28035	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28035	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28035	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28035	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28035	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28035	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28035	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28035	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28035	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28035	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28035	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28035	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28035	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28035	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28035	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28035	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28039	CPT10 27	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28039	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28039	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28039	CPT10 27	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
28039	CPT10 27	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
28039	CPT10 27	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
28039	CPT10 27	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
28039	CPT10 27	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
28039	CPT10 27	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
28039	CPT10 27	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28039	CPT10 27	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28039	CPT10 27	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
28039	CPT10 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28039	CPT10 27	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
28039	CPT10 27	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28039	CPT10 27	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28039	CPT10 27	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28039	CPT10 27	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28039	CPT10 27	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28039	CPT10 27	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28039	CPT10 27	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
28039	CPT10 27	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28039	CPT10 27	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28039	CPT10 27	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28039	CPT10 27	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28039	CPT10 27	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	6	0
28039	CPT10 27	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
28039	CPT10 27	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28039	CPT10 27	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28039	CPT10 27	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
28039	CPT10 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28039	CPT10 27	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28039	CPT10 27	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
28039	CPT10 27	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
28041	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
28041	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28043	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28043	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28043	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28043	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
28043	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
28043	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
28043	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
28043	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
28043	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
28043	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28043	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28043	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
28043	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28043	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
28043	CPT10 rv	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28043	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28043	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
28043	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28043	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28043	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28043	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28043	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	4.5	0
28043	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	4.5	0
28043	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28043	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28043	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
28043	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28043	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28043	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
28043	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
28045	CPT10 rv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28045	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28045	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28045	CPT10 rv	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
28045	CPT10 rv	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
28045	CPT10 rv	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	0
28045	CPT10 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
28045	CPT10 rv	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
28045	CPT10 rv	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
28045	CPT10 rv	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28045	CPT10 rv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
28045	CPT10 rv	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
28045	CPT10 rv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28045	CPT10 rv	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
28045	CPT10 rv	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28045	CPT10 rv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28045	CPT10 rv	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	0
28045	CPT10 rv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28045	CPT10 rv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28045	CPT10 rv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28045	CPT10 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28045	CPT10 rv	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	6	0
28045	CPT10 rv	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
28045	CPT10 rv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28045	CPT10 rv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28045	CPT10 rv	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	10	0
28045	CPT10 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28045	CPT10 rv	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28045	CPT10 rv	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
28045	CPT10 rv	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
28046	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28046	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28047	CPT10 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28047	CPT10 27	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28050	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28050	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28050	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28050	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28050	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28050	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28050	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28050	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28050	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28050	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28050	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28050	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28050	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28050	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28050	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28050	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28050	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28050	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28050	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28050	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28050	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28050	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28050	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28052	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28052	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28052	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28052	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28052	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28052	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28052	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28052	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28052	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28052	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28052	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28052	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28052	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28052	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28052	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28052	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28052	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28052	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28052	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28052	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28052	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28052	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28052	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28054	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28054	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28054	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28054	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28054	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28054	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28054	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28054	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28054	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28054	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28054	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28054	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28054	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28054	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28054	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28054	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28054	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28054	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28054	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28054	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28054	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28054	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28054	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
28055	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28055	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
28060	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28060	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28060	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28060	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28060	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28060	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28060	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28060	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28060	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28060	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28060	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28060	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28060	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28060	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28060	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28060	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28060	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28060	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28060	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28060	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28060	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28060	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28060	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28062	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28062	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28062	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28062	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28062	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28062	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28062	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28062	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28062	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28062	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28062	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28062	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28062	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28062	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28062	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28062	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28062	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28062	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28062	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28062	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28062	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28062	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28062	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28070	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28070	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28070	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28070	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28070	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28070	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28070	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28070	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28070	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28070	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28070	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28070	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28070	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28070	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28070	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28070	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28070	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28070	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28070	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28070	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28070	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28070	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28070	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28072	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28072	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28072	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28072	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28072	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28072	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28072	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28072	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28072	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28072	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28072	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28072	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28072	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28072	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28072	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28072	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28072	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28072	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28072	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28072	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28072	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28072	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28072	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28080	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28080	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28080	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28080	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28080	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28080	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28080	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28080	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28080	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28080	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28080	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28080	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28080	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28080	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28080	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28080	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28080	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28080	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28080	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28080	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28080	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28080	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28080	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28086	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28086	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28086	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28086	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28086	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28086	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28086	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28086	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28086	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28086	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28086	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28086	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28086	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28086	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28086	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28086	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28086	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28086	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28086	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28086	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28086	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28086	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28086	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28088	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28088	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28088	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28088	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28088	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28088	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28088	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28088	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28088	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28088	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28088	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28088	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28088	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28088	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28088	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28088	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28088	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28088	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28088	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28088	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28088	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28088	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28088	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28090	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28090	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28090	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28090	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28090	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28090	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28090	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28090	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28090	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28090	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28090	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28090	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28090	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28090	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28090	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28090	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28090	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28090	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28090	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28090	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28090	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28090	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28090	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28092	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28092	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28092	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28092	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28092	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28092	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28092	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28092	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28092	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28092	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28092	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28092	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28092	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28092	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28092	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28092	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28092	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28092	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28092	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28092	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28092	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28092	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28092	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28100	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28100	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28100	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28100	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28100	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28100	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28100	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28100	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28100	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28100	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28100	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28100	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28100	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28100	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28100	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28100	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28100	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28100	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28100	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28100	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28100	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28100	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28100	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28102	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28103	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
28103	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28104	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28104	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28104	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28104	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28104	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28104	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28104	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28104	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28104	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28104	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28104	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28104	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28104	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28104	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28104	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28104	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28104	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28104	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28104	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28104	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28104	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28104	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28104	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28106	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28107	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28107	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28107	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28107	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28107	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28107	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28107	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28107	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28107	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28107	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28107	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28107	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28107	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28107	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28107	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28107	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28107	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28107	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28107	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28107	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28107	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28107	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28107	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28108	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28108	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28108	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28108	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28108	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28108	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28108	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28108	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28108	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28108	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28108	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28108	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28108	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28108	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28108	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28108	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28108	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28108	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28108	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28108	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28108	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28108	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28108	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28110	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28110	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28110	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28110	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28110	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28110	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28110	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28110	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28110	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28110	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28110	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28110	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28110	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28110	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28110	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28110	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28110	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28110	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28110	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28111	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28111	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28111	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28111	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28111	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28111	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28111	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28111	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28111	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28111	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28111	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28111	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28111	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28111	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28111	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28111	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28111	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28111	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28111	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28112	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28112	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28112	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28112	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28112	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28112	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28112	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28112	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28112	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28112	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28112	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28112	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28112	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28112	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28112	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28112	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28112	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28112	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28112	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28113	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28113	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28113	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28113	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28113	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28113	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28113	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28113	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28113	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28113	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28113	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28113	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28113	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28113	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28113	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28113	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28113	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28113	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28113	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28114	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28114	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
28114	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28114	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28114	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28114	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28114	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28114	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28114	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28114	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28114	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28114	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28114	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28114	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28114	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28114	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28114	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28114	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28114	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28116	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28116	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28116	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28116	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28116	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28116	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28116	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28116	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28116	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28116	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28116	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28116	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28116	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28116	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28116	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28116	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28116	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28116	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28116	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28116	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28116	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28116	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28116	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28118	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28118	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28118	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28118	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28118	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28118	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28118	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28118	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28118	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28118	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28118	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28118	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28118	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28118	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28118	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28118	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28118	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28118	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28118	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28118	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28118	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28118	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28118	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28119	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28119	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28119	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28119	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28119	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28119	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28119	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28119	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28119	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28119	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28119	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28119	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28119	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28119	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28119	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28119	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28119	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28119	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28119	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28119	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28119	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28119	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28119	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28120	CPT10 mv	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28120	CPT10 mv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28120	CPT10 mv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28120	CPT10 mv	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28120	CPT10 mv	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28120	CPT10 mv	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28120	CPT10 mv	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28120	CPT10 mv	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28120	CPT10 mv	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28120	CPT10 mv	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28120	CPT10 mv	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28120	CPT10 mv	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28120	CPT10 mv	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28120	CPT10 mv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28120	CPT10 mv	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28120	CPT10 mv	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28120	CPT10 mv	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28120	CPT10 mv	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28120	CPT10 mv	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28122	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28122	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28122	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28122	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28122	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28122	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28122	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28122	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28122	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28122	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28122	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28122	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28124	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28124	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28124	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28124	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28124	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28124	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28124	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28124	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28124	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28124	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28124	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28124	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28124	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28124	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28124	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28124	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28124	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28124	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28124	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28124	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28124	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28124	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28124	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28126	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28126	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28126	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28126	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28126	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28126	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28126	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28126	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28126	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28126	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28126	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28126	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28126	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28126	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28126	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28126	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28126	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28126	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28126	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28126	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28126	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28126	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28126	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28140	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28140	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28140	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28140	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28140	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28140	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28140	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28140	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28140	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28140	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28140	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28140	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28140	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28140	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28140	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28140	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28140	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28140	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28140	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28140	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28140	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28140	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28140	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28150	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28150	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28150	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28150	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28150	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28150	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28150	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28150	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28150	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28150	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28150	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28150	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28150	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28150	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28150	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28150	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28150	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28150	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28150	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28150	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28150	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28150	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28150	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28153	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28153	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28153	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28153	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28153	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28153	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28153	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28153	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28153	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28153	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28153	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28153	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28153	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28153	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28153	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28153	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28153	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28153	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28153	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28153	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28153	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28153	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28153	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28160	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28160	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28160	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28160	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28160	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28160	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28160	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28160	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28160	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28160	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28160	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28160	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28160	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28160	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28160	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28160	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28160	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28160	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28160	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28160	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28160	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28160	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28160	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28171	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
28171	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28173	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
28173	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28175	CPT10 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
28175	CPT10 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28190	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28190	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
28190	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28190	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28190	RUC	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28190	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28190	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28190	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28190	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
28190	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28190	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28190	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28190	RUC	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985	1	0
28190	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
28190	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28190	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28190	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28190	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28190	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28190	RUC	"Pharmacy, NonRx"	SJ025	ethyl chloride spray	oz	4.8432	1	0
28190	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
28192	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28192	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28192	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28192	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28192	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28192	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28192	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28192	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28192	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28192	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28192	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28192	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28192	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28192	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28192	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28192	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28192	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28192	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28192	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28192	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28192	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28192	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28192	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28193	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28193	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28193	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28193	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28193	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28193	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28193	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28193	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28193	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28193	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28193	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28193	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28193	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28193	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28193	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28193	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28193	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28193	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28193	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28193	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28193	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28193	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28193	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28200	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28200	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28200	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28200	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28200	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28200	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28200	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28200	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28200	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28200	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28200	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28200	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28200	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28200	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28200	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28200	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28200	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28200	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28200	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28200	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28200	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28200	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28200	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28202	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28202	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28202	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28202	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28202	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28202	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28202	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28202	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28202	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28202	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28202	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28202	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28202	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28202	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28202	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28202	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28202	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28202	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28202	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28202	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28202	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28202	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28202	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28208	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28208	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28208	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28208	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28208	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28208	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28208	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28208	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28208	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28208	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28208	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28208	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28208	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28208	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28208	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28208	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28208	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28208	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28208	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28208	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28208	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28208	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28208	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28210	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28210	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28210	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28210	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28210	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28210	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28210	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28210	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28210	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28210	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28210	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28210	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28210	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28210	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28210	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28210	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28210	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28210	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28210	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28210	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28210	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28210	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28210	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28220	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28220	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28220	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28220	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28220	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28220	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28220	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28220	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28220	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28220	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28220	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28220	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28220	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28220	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28220	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28220	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28220	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28220	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28220	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28220	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28220	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28220	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28220	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28222	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28222	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28222	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28222	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28222	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28222	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28222	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28222	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28222	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28222	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28222	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28222	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28222	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28222	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28222	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28222	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28222	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28222	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28222	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28222	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28222	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28222	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28222	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28225	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28225	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28225	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28225	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28225	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28225	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28225	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28225	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28225	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28225	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28225	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28225	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28225	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28225	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28225	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28225	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28225	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28225	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28225	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28225	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28225	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28225	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28225	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28226	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28226	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28226	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28226	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28226	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28226	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28226	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28226	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28226	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28226	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28226	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28226	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28226	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28226	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28226	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28226	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28226	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28226	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28226	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28226	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28226	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28226	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28226	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28230	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28230	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28230	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28230	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28230	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28230	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28230	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28230	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28230	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28230	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28230	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28230	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28230	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28230	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28230	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28230	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28230	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28230	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28230	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28230	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28230	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28230	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28230	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28232	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28232	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28232	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28232	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28232	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28232	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28232	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28232	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28232	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28232	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28232	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28232	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28232	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28232	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28232	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28232	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28232	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28232	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28232	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28232	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28232	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28232	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28232	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28234	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28234	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28234	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28234	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28234	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28234	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28234	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28234	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28234	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28234	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28234	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28234	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28234	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28234	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28234	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28234	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28234	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28234	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28234	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28234	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28234	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28234	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28234	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28238	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28238	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28238	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28238	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28238	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28238	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28238	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28238	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28238	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28238	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28238	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28238	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28238	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28238	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28238	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28238	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28238	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28238	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28238	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28238	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28238	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28238	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28238	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28240	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28240	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28240	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28240	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28240	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28240	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28240	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28240	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28240	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28240	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28240	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28240	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28240	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28240	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28240	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28240	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28240	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28240	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28240	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28240	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28240	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28240	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28240	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28250	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28250	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28250	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28250	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28250	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28250	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28250	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28250	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28250	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28250	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28250	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28250	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28250	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28250	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28250	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28250	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28250	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28250	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28250	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28250	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28250	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28250	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28250	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28260	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28260	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28260	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28260	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28260	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28260	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28260	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28260	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28260	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28260	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28260	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28260	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28260	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28260	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28260	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28260	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28260	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28260	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28260	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28260	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28260	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28260	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28260	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28261	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28261	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28261	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28261	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28261	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28261	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28261	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28261	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28261	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28261	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28261	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28261	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28261	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28261	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28261	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28261	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28261	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28261	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28261	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28261	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28261	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28261	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28261	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28262	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28262	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28262	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28262	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28262	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28262	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28262	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28262	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28262	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28262	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28262	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28262	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28262	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28262	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28262	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28262	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28262	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28262	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28262	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28262	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28262	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28262	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28262	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28264	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28264	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28264	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28264	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28264	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28264	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28264	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28264	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28264	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28264	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28264	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28264	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28264	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28264	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28264	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28264	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28264	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28264	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28264	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28264	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28264	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28264	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28264	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28270	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28270	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28270	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28270	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28270	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28270	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28270	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28270	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28270	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28270	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28270	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28270	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28270	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28270	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28270	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28270	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28270	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28270	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28270	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28270	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28270	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28270	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28270	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28272	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28272	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28272	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28272	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28272	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28272	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28272	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28272	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28272	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28272	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28272	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28272	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28272	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28272	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28272	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28272	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28272	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28272	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28272	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28272	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28272	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28272	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28272	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28280	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28280	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28280	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28280	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28280	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28280	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28280	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28280	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28280	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28280	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28280	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28280	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28280	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28280	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28280	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28280	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28280	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28280	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28280	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28280	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28280	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28280	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28280	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28285	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28285	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28285	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28285	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28285	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28285	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28285	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28285	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28285	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28285	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28285	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28285	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28286	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28286	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28286	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28286	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28286	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28286	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28286	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28286	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28286	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28286	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28286	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28286	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28286	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28286	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28286	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28286	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28286	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28286	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28286	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28286	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28286	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28286	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28286	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28288	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28288	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28288	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28288	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28288	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28288	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28288	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28288	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28288	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28288	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28288	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28288	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28288	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28288	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28288	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28288	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28288	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28288	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28288	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28289	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28289	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28289	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28289	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28289	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28289	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28289	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28289	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28289	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28289	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28289	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28289	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28289	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28289	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28289	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28289	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28289	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28289	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28289	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28289	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28289	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28289	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28289	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28289	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28289	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28289	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28289	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28289	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28289	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28289	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28289	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28291	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28291	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28291	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28291	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28291	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28291	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28291	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28291	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28291	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28291	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28291	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28291	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28291	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28291	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28291	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28291	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28291	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28291	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28291	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28291	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28291	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28291	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28291	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28291	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28291	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28291	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28291	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28291	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28291	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28291	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28292	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28292	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28292	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28292	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28292	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28292	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28292	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28292	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28292	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28292	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28292	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28292	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28292	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28292	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28292	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28292	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28292	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28292	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28292	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28292	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28292	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28292	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28292	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28292	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28292	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28292	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28292	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28292	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28292	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28292	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28292	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28292	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28295	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28295	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28295	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28295	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28295	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28295	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28295	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28295	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28295	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28295	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28295	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28295	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28295	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28295	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	2	0
28295	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28295	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28295	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28295	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28295	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28295	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28295	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28295	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28295	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28295	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28295	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28295	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28295	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28295	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28295	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28295	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28295	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28295	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28296	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28296	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28296	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28296	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28296	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28296	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28296	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28296	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28296	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28296	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28296	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28296	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28296	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28296	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	2	0
28296	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28296	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28296	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28296	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28296	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28296	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28296	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28296	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28296	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28296	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28296	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28296	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28296	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28296	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28296	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28296	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28296	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28297	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28297	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28297	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28297	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28297	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28297	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28297	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28297	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28297	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28297	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28297	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28297	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28297	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28297	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28297	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	2	0
28297	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28297	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28297	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28297	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28297	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28297	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28297	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28297	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28297	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28297	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28297	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28297	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28297	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28297	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28297	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28297	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28297	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28297	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28298	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28298	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28298	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28298	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28298	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28298	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28298	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28298	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28298	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28298	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28298	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28298	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28298	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28298	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	1	0
28298	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28298	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28298	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28298	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28298	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28298	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28298	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28298	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28298	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28298	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28298	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28298	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28298	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28298	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28298	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28298	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28298	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28298	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28299	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28299	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28299	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28299	RUC	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28299	RUC	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28299	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28299	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28299	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28299	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
28299	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
28299	RUC	"Accessory, Procedure"	SD123	"tourniquet, ankle, sterile"	item	36.365	1	0
28299	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
28299	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
28299	RUC	"Accessory, Procedure"	SD142	"bur, surgical, sterile (drill)"	item	4.8765	1	0
28299	RUC	"Accessory, Procedure"	SD202	"screw, surgical, standard, 2.7mm x 12mm"	item	53.665	2	0
28299	RUC	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28299	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28299	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28299	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	3	0
28299	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28299	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28299	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
28299	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	0
28299	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28299	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28299	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28299	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
28299	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28299	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28299	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28299	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28299	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
28299	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
28300	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28300	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28302	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28302	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28304	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28304	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28304	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28304	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28304	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28304	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28304	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28304	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28304	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28304	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28304	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28304	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28304	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28304	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28304	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28304	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28304	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28304	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28304	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28304	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28305	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4.5
28305	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28306	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28306	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28306	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28306	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28306	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28306	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28306	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28306	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28306	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28306	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28306	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28306	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28306	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28306	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28306	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28306	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28306	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28306	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28306	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28306	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28307	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28307	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28307	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28307	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28307	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28307	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28307	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28307	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28307	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28307	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28307	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28307	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28307	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28307	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28307	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28307	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28307	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28307	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28307	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28307	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28308	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28308	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28308	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28308	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28308	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28308	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28308	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28308	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28308	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28308	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28308	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28308	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28308	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28308	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28308	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28308	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28308	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28308	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28308	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28308	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28309	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28309	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28310	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28310	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28310	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28310	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28310	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28310	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28310	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28310	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28310	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28310	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28310	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28310	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28310	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28310	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28310	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28310	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28310	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28310	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28310	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28310	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28312	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28312	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28312	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28312	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28312	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28312	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28312	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28312	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28312	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28312	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28312	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28312	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28312	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28312	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28312	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28312	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28312	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28312	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28312	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28312	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28313	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28313	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28313	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28313	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28313	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28313	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28313	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28313	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28313	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28313	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28313	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28313	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28313	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28313	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28313	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28313	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28313	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28313	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28313	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28313	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28313	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28313	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28313	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28313	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28315	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28315	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28315	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28315	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28315	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28315	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28315	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28315	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28315	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28315	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28315	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28315	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28315	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28315	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28315	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28315	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28315	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28315	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28315	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28315	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28315	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28315	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28315	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28315	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28320	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28322	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28322	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28322	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28322	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28322	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28322	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28322	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28322	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28322	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28322	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28322	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28322	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28322	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28322	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28322	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28322	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28322	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28322	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28322	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28322	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28322	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28322	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28322	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28322	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28340	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28340	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28340	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28340	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28340	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28340	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28340	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28340	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28340	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28340	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28340	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28340	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28340	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28340	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28340	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28340	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28340	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28340	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28340	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28340	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28340	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28340	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28340	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28340	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28341	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28341	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28341	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28341	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28341	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28341	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28341	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28341	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28341	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28341	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28341	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28341	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28341	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28341	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28341	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28341	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28341	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28341	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28341	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28341	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28341	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28341	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28341	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28341	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28344	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28344	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28344	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28344	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28344	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28344	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28344	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28344	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28344	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28344	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28344	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28344	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28344	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28344	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28344	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28344	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28344	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28344	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28344	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28344	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28344	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28344	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28344	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28344	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28345	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28345	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28345	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28345	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28345	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28345	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28345	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28345	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28345	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28345	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28345	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28345	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28345	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28345	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28345	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28345	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28345	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28345	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28345	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28345	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28345	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28345	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28345	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28345	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28360	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
28360	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
28360	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
28360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
28400	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
28400	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28400	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28400	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28406	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28406	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
28406	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
28406	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
28406	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
28406	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
28406	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
28415	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28415	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28415	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
28415	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
28415	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
28415	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
28415	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
28415	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
28415	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
28420	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28420	CPT08 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28420	CPT08 rv	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
28420	CPT08 rv	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
28420	CPT08 rv	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
28420	CPT08 rv	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
28420	CPT08 rv	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
28420	CPT08 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
28420	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
28430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28430	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28430	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28430	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28435	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28435	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28435	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28436	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28436	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28436	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
28436	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
28436	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
28436	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
28436	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
28436	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
28445	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28445	CPT08 rv	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
28446	CPT08 18	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28446	CPT08 18	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28450	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	2.5
28450	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28450	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28450	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28455	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28455	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28455	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28455	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28455	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28455	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28455	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28455	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28456	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28456	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28456	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
28456	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
28456	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
28456	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
28456	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
28456	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
28465	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28465	CPT08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28465	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		12
28465	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
28465	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
28465	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
28465	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
28465	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
28465	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		9
28470	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
28470	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28470	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28470	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28475	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28475	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28475	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28475	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28475	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28475	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28475	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28476	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
28476	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
28476	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
28476	Sep02	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
28476	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
28476	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
28485	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28485	CPT08	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28485	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		16
28485	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
28485	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
28485	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		8
28485	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
28485	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
28485	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		12
28490	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	1.5
28490	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28490	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28490	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28495	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28495	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28495	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28495	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28495	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28495	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28495	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28496	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28496	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28496	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28496	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28496	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28496	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28496	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28496	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28496	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28496	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28496	Aug03 5	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	5.2878	1	0
28496	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28496	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28496	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28496	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28496	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28496	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28496	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28496	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28496	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28505	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28505	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28505	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28505	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28505	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28505	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28505	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28505	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28505	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28505	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28505	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28505	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28505	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28505	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28505	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28505	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28505	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28505	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28505	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28505	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28505	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28505	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28505	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28505	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28510	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	1.5
28510	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28510	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28515	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28515	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28515	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28525	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28525	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28525	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28525	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28525	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28525	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28525	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28525	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28525	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28525	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28525	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28525	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28525	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28525	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28525	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28525	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28525	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28525	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28525	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28525	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28525	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28525	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28525	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28525	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28530	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28530	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28530	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28530	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28531	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28531	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28531	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28531	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28531	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28531	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28531	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28531	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28531	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28531	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28531	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28531	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28531	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28531	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28531	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28531	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28531	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28531	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28531	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28531	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28531	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28531	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28531	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28531	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28540	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28540	Aug03 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28540	Aug03 5	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28540	Aug03 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28545	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28545	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28545	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28545	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28545	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28545	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28545	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28546	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28546	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28546	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28546	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28546	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28546	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28546	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28546	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28546	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28546	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28546	Aug03 5	"Cutters, Closures, Cautery"	SF042	"wire, Kirschner 7.5in"	item	5.2878	1	0
28546	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28546	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28546	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28546	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28546	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28546	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28546	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28546	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28546	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28555	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28555	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28555	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28555	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28555	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28555	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28555	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28555	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28555	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28555	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28555	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28555	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28555	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28555	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28555	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28555	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28555	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28555	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28555	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28555	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28555	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28555	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28555	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28555	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28570	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
28570	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28570	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28570	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28575	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28575	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28575	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28575	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28575	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28575	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28575	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28585	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28585	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
28585	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28585	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28585	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28585	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28585	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28585	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28585	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28585	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28585	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28585	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28585	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28585	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28585	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28585	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28585	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28585	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28585	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28585	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28585	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28585	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28585	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28585	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
28600	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28600	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28600	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28605	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
28605	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28605	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
28605	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28605	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28605	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28605	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28606	Aug03 5	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		28
28615	CPT08	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		3
28615	CPT08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
28615	CPT08	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895		12
28615	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
28615	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
28615	CPT08	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
28615	CPT08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
28615	CPT08	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		30
28615	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		9
28630	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28630	Mar03 6	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28630	Mar03 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	1
28630	Mar03 6	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28630	Mar03 6	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	3	0
28630	Mar03 6	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
28635	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28635	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
28635	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	1
28635	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
28635	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28635	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28635	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	3	0
28635	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
28635	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
28636	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28636	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28636	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28636	CMS	"Kit, Pack, Tray"	SA081	"pack, drapes, ortho, small"	pack	1.096	1	0
28636	CMS	"Kit, Pack, Tray"	SA084	"pack, protective, ortho, small"	pack	4.8282	1	0
28636	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28636	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28636	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28636	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28636	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
28636	CMS	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122	3	0
28636	CMS	"Wound Care, Dressings"	SG028	"cast, stockinette 6in"	yd	0.7868	3	0
28636	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28636	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28636	CMS	"Wound Care, Dressings"	SG068	plaster bandage (4in x 5yd uou)	item	1.5915	3	0
28636	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	108	0
28636	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
28645	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28645	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28645	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28645	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28645	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28645	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28645	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28645	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28645	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28645	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28645	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28645	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28645	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28645	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28645	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28645	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28645	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28645	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28645	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28645	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28645	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28645	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28645	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28645	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28660	Mar03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28660	Mar03 6	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
28660	Mar03 6	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28660	Mar03 6	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
28665	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
28665	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28665	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28665	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28665	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28665	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
28666		"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
28666		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		2
28666		"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
28666		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014		7
28666		"Gown, Drape"	SB037	pillow case	item	0.3478		1
28666		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
28666		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
28666		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		1
28666		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
28666		"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623		2
28666		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
28666		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		76
28666		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
28675	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28675	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28675	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28675	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28675	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28675	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28675	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28675	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28675	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28675	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28675	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28675	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28675	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28675	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28675	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28675	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28675	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28675	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28675	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28675	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28675	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28675	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28675	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28675	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28705	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28715	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
28715	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28725	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28725	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28730	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28730	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28737	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28737	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28740	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28740	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28740	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28740	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28740	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28740	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28740	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28740	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28740	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28740	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28740	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28740	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28740	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28740	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28740	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28740	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28740	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28740	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28740	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28740	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28740	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28740	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28740	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28740	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28750	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28750	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28750	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28750	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28750	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28750	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28750	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28750	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28750	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28750	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28750	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28750	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28750	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28750	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28750	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28750	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28750	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28750	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28750	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28750	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28750	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28750	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28750	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28750	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28755	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28755	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28755	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28755	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28755	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28755	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28755	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28755	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28755	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28755	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28755	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28755	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28755	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28755	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28755	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28755	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28755	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28755	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28755	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28755	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28755	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28755	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28755	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28755	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28760	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28760	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28760	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28760	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28760	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28760	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28760	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28760	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28760	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28760	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28760	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28760	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28760	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28760	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28760	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28760	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28760	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28760	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28760	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28760	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28760	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28760	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28760	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28760	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
28800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28805	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
28810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28820	CPT12 5 Year	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28820	CPT12 5 Year	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28820	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28820	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28820	CPT12 5 Year	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28820	CPT12 5 Year	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28820	CPT12 5 Year	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28820	CPT12 5 Year	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28820	CPT12 5 Year	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28820	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28820	CPT12 5 Year	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28820	CPT12 5 Year	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28820	CPT12 5 Year	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28820	CPT12 5 Year	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28820	CPT12 5 Year	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28825	Aug03 5	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
28825	Aug03 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
28825	Aug03 5	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
28825	Aug03 5	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
28825	Aug03 5	"Kit, Pack, Tray"	SA083	"pack, protective, ortho, large"	pack	9.6015	1	0
28825	Aug03 5	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
28825	Aug03 5	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
28825	Aug03 5	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
28825	Aug03 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28825	Aug03 5	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF011	"blade, surgical, sterile, power saw"	item	10.4125	1	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
28825	Aug03 5	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
28825	Aug03 5	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
28825	Aug03 5	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
28825	Aug03 5	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
28825	Aug03 5	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
28825	Aug03 5	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
28825	Aug03 5	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
28825	Aug03 5	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
28825	Aug03 5	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
28825	Aug03 5	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
28890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
28890	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
28890	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
28890	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
28890	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	5	0
28890	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
28890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
29000	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29000	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29010	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29010	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29015	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29015	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29035	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29035	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29040	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29040	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29044	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29044	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29046	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29046	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29049	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29049	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29049	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29055	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29055	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29058	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29058	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29058	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29065	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29065	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29065	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29075	CPT13 MD Time	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29075	CPT13 MD Time	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29075	CPT13 MD Time	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29085	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29085	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29085	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29086		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29086		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29086		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29105	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
29105	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
29105	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29125	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29125	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29125	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29126	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29126	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29126	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29200	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29200	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29200	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	130	0
29200	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	130	0
29200	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	2	0
29240	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29240	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29240	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	80	0
29240	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	80	0
29240	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	2	0
29260	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29260	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	45	0
29260	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	45	0
29260	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	1	0
29280	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29280	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29280	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	30	0
29280	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	30	0
29280	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	1	0
29305	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29305	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29305	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29325	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29325	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	7	1
29325	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29345	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29345	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29345	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29355	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29355	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29355	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29358	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29358	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29358	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29365	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29365	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29365	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29405	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29405	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29405	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29425	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29425	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29425	CPT12 5 Year	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29435	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29435	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29435	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29440	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
29440	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
29440	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29445	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
29445	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
29445	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	2
29445	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29450	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29450	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29505	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29505	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29505	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
29515	CPT12	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
29515	CPT12	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	1
29515	CPT12	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	1
29520	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29520	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29520	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	175	0
29520	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	175	0
29520	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	2	0
29530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
29530	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29530	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	75	0
29530	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	75	0
29530	RUC	Infection Control	SM029	skin prep barrier wipes		0.2	2	0
29540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
29540	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29540	RUC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.7957	0.5	0
29540	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	24	0
29540	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	48	0
29550	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
29550	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29550	RUC	"Wound Care, Dressings"	SG001	"adherent, pre-tape spray"	oz	0.7957	0.25	0
29550	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	0
29550	RUC	"Wound Care, Dressings"	SG097	foam underwrap	inch	0.0082	10	0
29550	RUC	"Wound Care, Dressings"	SG098	rigid strapping tape	inch	0.018	10	0
29580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
29580	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
29580	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
29580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29580	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
29580	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
29580	RUC	"Wound Care, Dressings"	SG080	unna boot	item	4.7808	1	0
29580	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
29580	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
29580	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
29581	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
29581	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
29581	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
29581	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29581	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
29581	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29581	RUC	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	17.1675	1	0
29581	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
29581	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
29581	RUC	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
29584	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
29584	CMS	"Wound Care, Dressings"	SG096	Multi-layer compression system bandages	item	17.1675	2	0
29584	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	0
29700	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
29700	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	1
29700	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29705	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
29705	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	1
29705	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29710	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
29710	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	1
29710	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29720	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
29720	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
29720	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29730	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
29730	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
29730	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29740	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
29740	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
29740	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29750	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
29750	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
29750	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
29800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29800	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
29804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29804	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29804	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
29805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29806	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29806	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29807	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29807	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29819	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29819	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29822	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29823	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29823	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29824	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29827	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29827	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29828	CPT13 Mar 2	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29828	CPT13 Mar 2	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29834	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29835	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29836	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29837	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29837	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29838	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29840	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29843	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29844	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29844	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29845	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29846	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29847	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29847	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29848	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
29851	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
29855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
29856	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29861	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29862	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29863	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29863	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29866	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29866	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
29867	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29867	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
29868	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29868	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
29870	Oct09	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
29870	Oct09	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
29870	Oct09	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
29870	Oct09	"Kit, Pack, Tray"	SA080	"pack, drapes, ortho, large"	pack	39.8095	1	0
29870	Oct09	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	0
29870	Oct09	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
29870	Oct09	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
29870	Oct09	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
29870	Oct09	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
29870	Oct09	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
29870	Oct09	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
29870	Oct09	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
29870	Oct09	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
29870	Oct09	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
29870	Oct09	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
29870	Oct09	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
29870	Oct09	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
29870	Oct09	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
29871	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29871	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29873	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29873	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29874	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29874	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29875	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29876	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29876	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29877	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29877	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29879	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29879	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29880	CPT12 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29880	CPT12 May 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29881	CPT12 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29881	CPT12 May 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29882	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29882	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29883	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29883	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29884	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29884	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29885	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29885	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29886	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29887	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29887	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29888	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29888	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29889	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
29889	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29891	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29891	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29892	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	7	6
29893	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
29893	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
29893	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
29893	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
29893	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
29893	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
29893	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	3	0
29893	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
29893	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
29893	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
29893	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	5	0
29893	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
29893	CMS	"Cutters, Closures, Cautery"	SF026	"endoscopic blade, surgical"	item	42.905	2	0
29893	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
29893	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
29893	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
29893	CMS	"Wound Care, Dressings"	SG015	"bandage, Esmarch-Martin, sterile 3in x 9ft"	item	5.7538	1	0
29893	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
29893	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
29893	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
29893	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
29893	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	20	0
29893	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
29893	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
29893	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
29893	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
29893	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
29894	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29894	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29895	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29895	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29897	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29897	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29898	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29898	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29899	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29899	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29901	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29902	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29902	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
29904	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
29905	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29906	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29906	CPT08 20	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29907	CPT08 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29907	CPT08 20	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29914	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29914	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29915	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29915	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
29916	CPT11 1	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
29916	CPT11 1	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30000	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
30000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
30000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30000	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
30000	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30000	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	2	0
30000	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
30000	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
30000	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
30000	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30000	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30000	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30020	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
30020	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30020	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30020	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
30020	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30020	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30020	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30020	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30020	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30020	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
30020	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30020	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	2	0
30020	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
30020	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30020	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
30020	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
30020	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30020	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30020	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30020	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30100	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30100	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30100	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30100	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30100	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30100	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30100	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
30100	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30100	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30100	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30100	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30100	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
30100	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30110	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30110	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30110	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30110	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30110	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30110	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30110	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30110	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30110	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	1	0
30110	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30110	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30110	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30110	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30110	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30115	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30115	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
30115	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30115	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30115	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30115	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30115	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30115	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30115	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30115	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30115	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30115	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30115	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30115	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1
30115	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30115	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30115	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30117	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	3	2
30117	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30117	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
30117	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	3	2
30117	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
30117	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30117	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30117	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
30117	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
30117	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
30117	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
30117	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	3	2
30117	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	4
30117	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
30117	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30117	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30117	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	309.9975	1	0
30117	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30117	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	1	0
30117	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	4
30117	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
30117	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
30117	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30117	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30117	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30118	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30118	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
30118	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30118	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30118	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30118	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30118	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30118	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30118	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30118	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30118	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30118	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30118	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
30118	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1
30118	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30118	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30118	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
30120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
30120	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	6	4
30120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	2
30120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
30120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
30120	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	3	2
30120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
30120	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
30120	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
30120	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30120	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30120	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30120	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	0
30120	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
30120	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
30120	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
30120	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
30120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
30120	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30124	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
30124	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30124	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
30124	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
30124	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
30124	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
30124	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
30124	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
30124	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		1
30124	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		1
30124	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30124	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
30124	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
30125	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
30125	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30125	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30125	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30125	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30125	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30125	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30125	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30125	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30125	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30125	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30125	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30125	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30125	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30130	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30130	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
30130	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30130	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30130	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30130	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30130	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30130	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30130	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30130	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30130	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30130	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30130	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30130	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1
30130	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30130	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30130	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30140	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30140	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
30140	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
30140	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30140	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30140	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
30140	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
30140	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30140	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30140	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
30140	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30140	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
30140	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
30140	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
30140	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
30140	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	5	0
30140	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30140	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30140	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
30140	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
30150	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30150	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30150	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30150	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30150	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30150	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30150	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30150	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30150	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30160	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
30160	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30160	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30160	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30160	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30160	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30160	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30160	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30160	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30160	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30160	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30160	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30160	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30160	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30160	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30160	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30200	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30200	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
30200	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
30200	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30200	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30200	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30200	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30200	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30200	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30210	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30210	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30210	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
30210	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30210	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30210	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30210	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
30210	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30210	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30210	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30210	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30220	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30220	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30220	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30220	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30220	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30220	Jan03	"Wound Care, Dressings"	SG072	"septal button prosthesis, silicone"	item	79.8102	1	0
30220	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30220	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
30220	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30220	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30220	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	7	0
30220	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
30300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
30300	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
30300	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
30300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30300	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
30300	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
30300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
30300	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	3	0
30300	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
30300	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
30300	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30300	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30300	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30300	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	1
30300	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	4	2
30300	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	8	4
30300	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	8	4
30300	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	2	1
30310	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		2
30310	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30310	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
30310	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
30310	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
30310	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
30310	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30310	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
30310	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
30310	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
30310	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
30310	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
30310	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
30310	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
30310	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
30310	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
30310	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
30320	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30320	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
30320	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30320	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30320	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30320	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30320	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30320	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30320	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30320	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30320	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30320	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30320	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30320	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30320	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30320	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30320	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30400	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30400	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30400	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30400	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30400	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30400	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30400	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30400	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30400	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30400	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30400	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30400	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30400	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30400	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30400	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30400	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30410	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30410	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30410	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30410	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30410	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30410	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30410	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30410	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30410	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30410	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30410	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30410	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30410	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30410	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30410	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30410	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30420	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30420	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30420	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30420	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30420	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30420	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30420	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30420	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30420	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30420	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30420	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30420	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30420	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30420	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30420	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30420	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30430	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30430	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30430	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30430	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30430	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30430	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30430	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30430	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30430	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30430	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30430	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30430	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30430	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30430	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30430	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30430	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30435	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30435	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30435	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30435	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30435	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30435	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30435	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30435	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30435	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30435	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30435	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30435	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30435	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30435	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30435	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30435	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30450	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
30450	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30450	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
30450	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
30450	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
30450	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
30450	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
30450	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
30450	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
30450	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		6
30450	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
30450	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		12
30450	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
30450	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
30450	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
30450	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
30460	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
30460	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30460	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30460	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30460	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30460	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30460	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30460	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30460	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30460	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30460	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30460	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30460	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1
30460	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30460	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30460	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30462	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
30462	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30462	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
30462	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
30462	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
30462	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
30462	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
30462	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
30462	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
30462	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
30462	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
30462	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
30462	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30462	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
30462	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
30462	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
30465	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
30465	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30465	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
30465	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
30465	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
30465	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
30465	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
30465	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
30465	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
30465	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
30465	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
30465	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
30465	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30465	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
30465	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
30465	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
30520	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
30520	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30520	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30520	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30520	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30520	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30520	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30520	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30520	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30520	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30520	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30520	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30520	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
30520	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30520	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30520	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30540	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30540	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
30540	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30540	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
30540	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30540	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30540	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30540	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30540	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30540	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30540	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30540	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
30540	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30540	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30540	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30545	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
30545	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
30545	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
30545	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
30545	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
30545	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
30545	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
30545	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
30545	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
30545	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
30545	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
30545	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
30545	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
30545	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
30545	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
30560	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
30560	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
30560	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
30560	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30560	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
30560	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30560	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30560	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30560	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
30560	Jan03	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	2	0
30560	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
30560	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
30560	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30560	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
30560	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30560	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
30560	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	4	2
30560	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	4	2
30560	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	8	4
30560	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	8	4
30560	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	2	1
30580	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
30580	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
30580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
30580	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
30580	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
30580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
30580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30580	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
30580	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
30580	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
30580	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30580	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
30580	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30580	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
30580	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30580	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30580	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30580	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30580	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30580	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
30580	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
30580	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
30580	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
30580	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
30580	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
30580	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
30580	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30580	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
30600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
30600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
30600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
30600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
30600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
30600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
30600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
30600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
30600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
30600	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
30600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
30600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
30600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
30600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
30600	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
30600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
30600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
30600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
30600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
30600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
30600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
30600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30600	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
30620	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
30620	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30620	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
30620	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
30620	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
30620	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
30620	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
30620	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
30620	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
30620	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
30620	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
30620	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
30620	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30620	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
30620	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
30620	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
30630	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
30630	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30630	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30630	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30630	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30630	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30630	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30630	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30630	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30630	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30630	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30630	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30630	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
30630	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30630	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30630	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30801	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
30801	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30801	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
30801	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	2	1
30801	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	1
30801	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1
30801	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	1
30801	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	2	1
30801	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
30801	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	4	0
30801	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
30801	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	1
30801	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	0	1
30801	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	10	5
30801	Mar04 I	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	2	1
30801	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	10	5
30801	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
30801	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30802	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
30802	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
30802	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
30802	Mar04 I	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	2	1
30802	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	1
30802	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1
30802	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	1
30802	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	2	1
30802	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
30802	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	4	0
30802	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
30802	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	1
30802	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	0	1
30802	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	10	5
30802	Mar04 I	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	2	1
30802	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	10	5
30802	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
30802	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
30901	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30901	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30901	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30901	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
30901	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30901	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30901	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30901	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
30901	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
30901	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
30901	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
30901	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30901	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30901	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	3	0
30901	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
30901	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30903	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30903	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30903	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30903	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
30903	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
30903	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30903	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30903	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30903	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30903	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
30903	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
30903	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
30903	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
30903	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
30903	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
30903	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
30903	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30903	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30903	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
30903	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30905	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30905	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30905	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30905	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
30905	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
30905	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30905	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
30905	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30905	RUC	"Accessory, Procedure"	SD071	epistaxis balloon	item	43.4123	1	0
30905	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30905	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30905	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
30905	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
30905	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
30905	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
30905	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
30905	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
30905	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
30905	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
30905	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30905	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30905	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
30905	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30906	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
30906	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
30906	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
30906	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
30906	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
30906	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
30906	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
30906	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
30906	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
30906	RUC	"Accessory, Procedure"	SD071	epistaxis balloon	item	43.4123	1	0
30906	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
30906	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
30906	RUC	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
30906	RUC	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
30906	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
30906	RUC	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
30906	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
30906	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
30906	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
30906	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
30906	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
30906	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
30906	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
30906	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
30915	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
30915	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30915	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
30915	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30915	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
30915	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
30915	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
30915	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
30915	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30915	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
30915	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
30915	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
30915	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
30915	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
30915	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
30915	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
30920	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
30920	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
30920	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
30920	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
30920	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
30920	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
30920	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
30920	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
30920	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
30920	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
30920	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
30920	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
30920	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
30920	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
30920	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
30920	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
30930	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
30930	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
30930	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
30930	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
30930	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
30930	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
30930	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
30930	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
31000	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
31000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31000	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
31000	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
31000	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
31000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31000	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	1
31000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31000	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
31002	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31002	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31002	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31002	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31002	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31002	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31002	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31002	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31002	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31002	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31002	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31002	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31002	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31002	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31002	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31002	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31002	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31020	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
31020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
31020	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	3	2
31020	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	6	4
31020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	2
31020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
31020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
31020	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	3	2
31020	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
31020	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
31020	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
31020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
31020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	2
31020	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	0	2
31020	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
31020	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
31020	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
31020	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
31020	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	1	0
31020	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31020	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
31020	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
31020	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	4	0
31020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
31020	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31020	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31030	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
31030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
31030	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
31030	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	3	2
31030	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	6	4
31030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	1
31030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
31030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
31030	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	3	2
31030	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
31030	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
31030	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	0
31030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
31030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	2
31030	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	0	2
31030	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
31030	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
31030	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
31030	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
31030	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
31030	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31030	CMS	"Wound Care, Dressings"	SG044	"dressing, Merocel nasal standard 4.5cm"	item	8.875	1	0
31030	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31030	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
31030	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
31030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
31030	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	4	0
31030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
31030	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31030	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31032	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31032	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
31032	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31032	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
31032	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31032	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
31032	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
31032	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
31032	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
31032	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31032	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
31032	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
31032	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
31032	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31032	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
31032	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31032	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
31040	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31040	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31040	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31040	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31040	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31040	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31040	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31040	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31040	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31040	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31040	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31040	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31040	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31040	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31040	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31040	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31050	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31050	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
31050	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31050	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
31050	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31050	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
31050	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
31050	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
31050	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
31050	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31050	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
31050	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
31050	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
31050	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		5
31050	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
31050	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31050	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
31051	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31051	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31051	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31051	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31051	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31051	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31051	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31051	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31051	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31051	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31051	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31051	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31051	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		6
31051	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
31051	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31051	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31051	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31070	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31070	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
31070	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31070	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
31070	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31070	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
31070	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
31070	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
31070	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
31070	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31070	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		2
31070	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		2
31070	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
31070	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
31070	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
31070	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31070	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
31075	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31075	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31075	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31075	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31075	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31075	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31075	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31075	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31075	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31075	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31075	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31075	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31075	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31075	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31075	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31075	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31075	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31080	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31080	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31080	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31080	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31080	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31080	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31080	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31080	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31080	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31080	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31080	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
31080	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31080	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
31080	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31080	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31080	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31080	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
31081	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31081	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31081	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31081	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31081	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31081	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31081	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31081	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31081	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31081	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31081	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
31081	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31081	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
31081	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31081	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31081	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31081	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
31084	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31084	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31084	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31084	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31084	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31084	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31084	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31084	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31084	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31084	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31084	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
31084	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31084	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
31084	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31084	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31084	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31084	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
31085	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31085	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31085	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31085	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31085	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31085	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31085	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31085	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31085	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31085	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31085	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
31085	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31085	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
31085	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31085	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31085	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31085	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
31086	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31086	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31086	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31086	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31086	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31086	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31086	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31086	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31086	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31086	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31086	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		4
31086	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31086	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		8
31086	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31086	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31086	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31086	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
31087	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31087	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31087	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31087	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31087	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31087	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31087	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31087	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31087	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31087	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31087	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31087	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31087	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31087	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31087	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31087	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31087	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31090	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31090	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
31090	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31090	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		10
31090	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
31090	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
31090	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
31090	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
31090	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
31090	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
31090	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		5
31090	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		5
31090	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		10
31090	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
31090	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
31090	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		5
31090	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		5
31200	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31200	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31200	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31200	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31200	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31200	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31200	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31200	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31200	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31200	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31200	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31200	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31200	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31200	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31200	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31200	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31200	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31201	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31201	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31201	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31201	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31201	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31201	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31201	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31201	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31201	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31201	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31201	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31201	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31201	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31201	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31201	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31201	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31201	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31205	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31205	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31205	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
31205	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		6
31205	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
31205	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31205	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31205	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
31205	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31205	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31205	Mar04 I	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48		3
31205	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31205	Mar04 I	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		7
31205	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
31205	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31205	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
31205	Mar04 I	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		3
31225	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31225	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
31225	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
31225	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31225	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31225	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
31225	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
31225	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
31225	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
31225	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
31225	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
31225	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31225	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31225	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31225	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31230	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31230	Mar04 I	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
31230	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
31230	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31230	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		8
31230	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4.5
31230	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5
31230	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5.5
31230	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5.5
31230	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5.5
31230	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5.5
31230	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31230	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31230	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31230	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31231	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31231	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
31231	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31231	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
31231	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31231	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
31231	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31231	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	5.3975	1	0
31231	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31231	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	12	0
31231	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31231	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	0
31231	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	5	0
31231	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31231	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	10	0
31231	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
31231	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
31233	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31233	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31233	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31233	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31233	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31233	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
31233	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
31233	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31233	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31233	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
31233	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31233	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31233	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31233	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31233	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31233	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31233	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31233	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31235	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31235	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31235	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31235	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31235	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31235	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
31235	RUC	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847	4	0
31235	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31235	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31235	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
31235	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31235	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31235	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31235	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31235	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31235	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31235	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31235	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31237	CPT14 May 32	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31237	CPT14 May 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31237	CPT14 May 32	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31237	CPT14 May 32	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
31237	CPT14 May 32	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31237	CPT14 May 32	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
31237	CPT14 May 32	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31237	CPT14 May 32	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31237	CPT14 May 32	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31237	CPT14 May 32	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	3	0
31237	CPT14 May 32	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31237	CPT14 May 32	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
31237	CPT14 May 32	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
31237	CPT14 May 32	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	0
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
31237	CPT14 May 32	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31237	CPT14 May 32	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31237	CPT14 May 32	Lab	SL464	Atomizer tips (disposable)	item		2	0
31237	CPT14 May 32	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31237	CPT14 May 32	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31237	CPT14 May 32	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31238	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31238	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31238	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
31238	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31238	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
31238	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31238	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31238	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31238	RUC	"Accessory, Procedure"	SD279	"Fibrillar, surgical"	item		1	0
31238	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	3	0
31238	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	2	0
31238	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
31238	RUC	"Wound Care, Dressings"	SG066	"packing, gauze w-petrolatum, 0.5in (6yd uou)"	item	2.0577	1	0
31238	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
31238	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31238	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	2	0
31238	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
31238	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31238	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31238	RUC	Lab	SL464	Atomizer tips (disposable)	item		2	0
31238	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31238	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31238	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31239	CPT14 May 32	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31239	CPT14 May 32	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		1
31239	CPT14 May 32	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31239	CPT14 May 32	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31239	CPT14 May 32	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31239	CPT14 May 32	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31254	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31254	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31254	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31254	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31254	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
31254	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31254	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31254	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31254	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
31254	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
31254	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31254	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31254	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
31254	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
31254	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	8	0
31254	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
31254	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
31254	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	10	0
31254	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31254	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31254	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31254	RUC	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
31254	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
31254	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31254	RUC	Lab	SL464	Atomizer tips (disposable)	item		1	0
31254	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31254	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
31254	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31290	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31290	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31290	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31290	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31290	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31290	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31290	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31290	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31290	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31290	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31290	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31290	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31290	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31290	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31290	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31290	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31290	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31291	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31291	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31291	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31291	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31291	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31291	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31291	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31291	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31291	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31291	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31291	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31291	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31291	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31291	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31291	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31291	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31291	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31292	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31292	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31292	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31292	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31292	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31292	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31292	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31292	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31292	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31292	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31292	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31292	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31292	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31292	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31292	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31292	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31293	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31293	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31293	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31293	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31293	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31293	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31293	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31293	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31293	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31293	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31293	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31293	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31293	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31293	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31293	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31293	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31293	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31294	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31294	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
31294	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
31294	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31294	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
31294	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
31294	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
31294	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
31294	Jan03	"Pharmacy, Rx"	SH025	"cocaine 4% solution, topical"	ml	4.2847		4
31294	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
31294	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
31294	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
31294	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315		1
31294	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
31294	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268		2
31294	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		2
31294	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969		1
31295	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31295	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31295	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31295	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2668.95	0.5	0
31295	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31295	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31295	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31295	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31295	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31295	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
31295	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31295	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31295	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31295	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31295	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
31295	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
31295	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	5	0
31295	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31295	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
31295	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
31295	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
31295	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31295	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	3	0
31295	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31295	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
31295	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
31295	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31295	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31296	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31296	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31296	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31296	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2668.95	0.5	0
31296	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31296	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31296	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31296	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31296	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31296	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
31296	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31296	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31296	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31296	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31296	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
31296	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
31296	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	5	0
31296	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31296	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
31296	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
31296	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
31296	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31296	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	3	0
31296	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31296	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
31296	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
31296	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31296	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31297	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31297	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31297	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31297	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2668.95	0.5	0
31297	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31297	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31297	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31297	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31297	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31297	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
31297	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31297	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31297	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31297	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31297	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
31297	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
31297	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	5	0
31297	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31297	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
31297	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
31297	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
31297	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31297	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	3	0
31297	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31297	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
31297	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
31297	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31297	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31298	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	0
31298	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31298	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31298	RUC	"Kit, Pack, Tray"	SA106	"kit, sinus surgery, balloon (maxillary, frontal, or sphenoid)"	kit	2668.95	1	0
31298	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31298	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31298	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31298	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31298	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
31298	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
31298	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31298	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31298	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31298	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31298	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
31298	RUC	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
31298	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	5	0
31298	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31298	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
31298	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
31298	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
31298	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31298	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	3	0
31298	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31298	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
31298	RUC	Lab	SL146	tubed culture media	item	0.8668	1	0
31298	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	0
31298	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	4	0
31300	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31300	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31300	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31300	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31300	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31300	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31300	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31300	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31300	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31300	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31300	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31300	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31300	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31300	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31300	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31360	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31360	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31360	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31360	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31360	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31360	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31360	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31360	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31360	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31360	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31360	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31360	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31360	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31360	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
31360	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31365	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31365	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31365	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31365	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31365	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31365	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31365	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31365	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31365	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31365	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31365	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31365	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31365	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31365	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
31365	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31367	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31367	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31367	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31367	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3.5
31367	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5
31367	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4.5
31367	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4.5
31367	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
31367	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4.5
31367	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4.5
31367	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4.5
31367	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31367	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31367	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31367	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31368	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31368	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31368	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31368	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4.5
31368	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5.5
31368	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5.5
31368	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5.5
31368	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5.5
31368	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5.5
31368	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5.5
31368	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5.5
31368	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31368	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31368	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31368	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31370	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
31370	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31370	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31370	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31370	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3.5
31370	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5
31370	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4.5
31370	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4.5
31370	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
31370	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4.5
31370	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4.5
31370	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4.5
31370	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31370	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31370	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31370	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31370	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31375	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
31375	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31375	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31375	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31375	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31375	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31375	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31375	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31375	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31375	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31375	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31375	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31375	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31375	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31375	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31375	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31375	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31380	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
31380	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31380	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31380	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31380	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31380	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31380	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31380	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31380	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31380	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31380	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31380	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31380	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31380	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31380	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31380	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31380	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31382	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
31382	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31382	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31382	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31382	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3.5
31382	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4.5
31382	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4.5
31382	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4.5
31382	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
31382	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4.5
31382	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4.5
31382	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4.5
31382	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31382	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31382	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31382	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31382	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31390	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31390	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31390	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31390	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5
31390	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
31390	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
31390	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6
31390	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
31390	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		6
31390	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		6
31390	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
31390	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31390	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31390	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
31390	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31395	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31395	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
31395	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31395	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		7
31395	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
31395	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
31395	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		8
31395	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		8
31395	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		8
31395	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		8
31395	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
31395	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31395	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31395	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
31395	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31400	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31400	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31400	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31400	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
31400	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		3
31400	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31400	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31400	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
31400	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31400	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
31400	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31400	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
31400	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31400	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
31400	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		5
31400	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		20
31400	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31400	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
31400	Mar04 I	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867		4
31400	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31420	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31420	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
31420	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31420	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31420	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		2
31420	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31420	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31420	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31420	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31420	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
31420	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31420	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
31420	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31420	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
31420	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		5
31420	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		20
31420	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31420	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31420	Mar04 I	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867		4
31420	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31505	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31505	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31505	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
31505	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31505	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	2	0
31505	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31505	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31505	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31505	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31505	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31505	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31505	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31510	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31510	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31510	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31510	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31510	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31510	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31510	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31510	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31510	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31510	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
31510	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31510	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31510	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31510	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31510	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31511	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31511	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31511	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31511	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31511	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31511	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31511	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31511	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31511	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
31511	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31511	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31511	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31511	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31511	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31512	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31512	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31512	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31512	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31512	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31512	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31512	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31512	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31512	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31512	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
31512	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31512	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31512	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31512	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31515	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31515	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31515	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31515	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31515	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31515	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31515	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
31515	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
31515	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31515	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31515	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31515	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
31515	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31515	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31515	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31515	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31515	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31525	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31525	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31525	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31525	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31525	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31525	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
31525	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
31525	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31525	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31525	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31525	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31525	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31525	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31525	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31525	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31551	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31551	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31551	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31551	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31551	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		1
31551	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31551	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
31551	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
31551	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31551	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
31551	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31551	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
31551	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31551	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31552	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31552	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31552	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31552	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31552	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		1
31552	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31552	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
31552	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
31552	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31552	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31552	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31552	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
31552	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31552	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31553	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31553	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31553	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31553	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31553	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31553	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31553	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31553	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31553	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31553	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		3
31553	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31553	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31553	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3
31553	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3
31553	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
31553	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		6
31553	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31553	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31553	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31553	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
31553	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31554	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31554	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31554	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31554	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31554	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31554	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31554	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31554	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31554	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31554	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31554	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		3
31554	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31554	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31554	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3
31554	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3
31554	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31554	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		6
31554	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31554	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31554	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31554	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
31554	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31570	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31570	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31570	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31570	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31570	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31570	Jan03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31570	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
31570	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
31570	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31570	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31570	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31570	Jan03	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31570	Jan03	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31570	Jan03	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31570	Jan03	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31570	Jan03	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31572	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31572	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31572	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31572	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31572	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31572	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	159.8875	1	0
31572	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31572	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31572	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31572	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31572	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31572	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31572	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31572	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31572	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31572	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31573	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31573	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31573	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31573	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31573	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31573	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31573	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	1.9625	1	0
31573	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31573	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31573	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31573	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31573	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31573	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31573	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31573	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31573	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31574	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31574	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31574	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31574	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31574	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31574	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31574	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31574	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31574	CMS	"Pharmacy, NonRx"	SJ090	Voice Augmentation Gel	ml	579.2775	1	0
31574	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31574	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31574	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31574	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31574	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31574	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31574	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31575	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31575	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31575	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
31575	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31575	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31575	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31575	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31575	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31575	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31575	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31575	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31575	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31575	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31575	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31576	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31576	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31576	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31576	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31576	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31576	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
31576	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31576	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31576	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31576	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	25.9	1	0
31576	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31576	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31576	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31576	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31576	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31576	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31576	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
31576	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31576	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31576	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31576	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31576	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31576	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31576	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31577	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31577	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31577	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31577	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31577	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
31577	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31577	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31577	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31577	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	25.9	1	0
31577	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31577	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31577	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31577	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31577	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31577	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31577	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
31577	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31577	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31577	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31577	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31577	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31577	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31577	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31578	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
31578	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31578	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31578	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31578	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31578	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
31578	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31578	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31578	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31578	CMS	"Accessory, Procedure"	SD318	Disposable biopsy forceps	item	25.9	1	0
31578	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31578	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31578	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31578	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31578	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31578	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31578	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
31578	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
31578	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31578	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31578	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31578	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31578	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31578	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31579	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31579	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31579	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
31579	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31579	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
31579	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
31579	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31579	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31579	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
31579	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31579	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31579	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31579	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31579	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31580	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31580	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31580	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31580	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31580	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31580	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31580	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31580	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31580	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		3
31580	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31580	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31580	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3
31580	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3
31580	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31580	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		6
31580	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31580	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31580	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31580	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
31580	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31584	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31584	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31584	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31584	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31584	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31584	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31584	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31584	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31584	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31584	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		3
31584	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31584	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		3
31584	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3
31584	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3
31584	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31584	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		6
31584	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31584	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31584	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31584	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
31584	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31587	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31587	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31587	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31587	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31587	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		1
31587	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31587	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
31587	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
31587	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31587	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31587	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31587	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
31587	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31587	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31590	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		5
31590	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
31590	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31590	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		5
31590	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		4
31590	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
31590	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
31590	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
31590	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31590	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
31590	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
31590	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		10
31590	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		15
31590	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
31590	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		5
31590	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		25
31590	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31590	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
31590	Mar04 I	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867		5
31590	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31591	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31591	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31591	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31591	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31591	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		1
31591	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31591	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
31591	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
31591	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31591	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31591	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
31591	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31591	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31592	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31592	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31592	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31592	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31592	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		1
31592	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
31592	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
31592	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
31592	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
31592	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31592	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31592	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		1
31592	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31592	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
31595	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
31595	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31595	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31595	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31595	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		2
31595	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31595	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31595	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31595	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31595	Mar04 I	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355		2
31595	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31595	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
31595	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		9
31595	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
31595	Mar04 I	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068		5
31595	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		15
31595	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31595	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31595	Mar04 I	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867		3
31595	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
31610	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
31610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31610	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		3
31610	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
31610	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
31610	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
31610	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		3
31610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
31610	RUC	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
31610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
31610	RUC	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		3
31610	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
31610	RUC	"Wound Care, Dressings"	SG090	tracheostomy collar-neckband	item	3.235		3
31610	RUC	"Wound Care, Dressings"	SG091	tracheostomy dressing	item	3.24		3
31610	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		3
31610	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		3
31610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
31610	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
31610	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
31611	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
31611	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
31611	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
31611	Mar04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
31611	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
31611	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
31611	Mar04 I	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
31611	Mar04 I	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		1
31611	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		2
31611	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31611	Mar04 I	"Accessory, Procedure"	SD195	"prosthesis, voice button (Blom-Singer)"	item	48		1
31611	Mar04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
31611	Mar04 I	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
31611	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		1
31611	Mar04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
31612	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31612	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31612	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
31612	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31612	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
31612	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
31612	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
31612	Jan03	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
31612	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31612	Jan03	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
31612	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	0
31612	Jan03	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
31612	Jan03	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
31612	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31612	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
31612	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31613	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2.5
31613	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
31613	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31613	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1.5
31613	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5
31613	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2.5
31613	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2.5
31613	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
31613	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2.5
31613	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		2.5
31613	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31613	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31614	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		4
31614	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31614	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31614	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31614	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31614	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31614	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31614	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31614	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31614	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
31614	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31614	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31615	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
31615	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31615	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
31615	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31615	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31615	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
31615	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
31615	Mod sed	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	4	0
31615	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31615	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
31615	Mod sed	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
31615	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	0
31615	Mod sed	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
31615	Mod sed	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
31615	Mod sed	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
31622	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31622	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31622	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31622	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	2	0
31622	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31622	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31622	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31622	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31622	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31622	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31622	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31622	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31622	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31623	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31623	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31623	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31623	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31623	RUC	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	14.75	2	0
31623	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31623	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31623	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31623	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31623	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31623	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31623	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31623	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31624	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31624	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31624	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31624	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31624	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	3	0
31624	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31624	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31624	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31624	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31624	RUC	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	15	0
31624	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31624	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31624	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31625	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31625	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31625	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31625	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
31625	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
31625	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31625	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31625	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31625	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31625	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31625	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31625	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31625	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31625	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31625	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31626	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31626	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31626	CMS	"Gown, Drape"	SB053	Gold Fiducial Marker	item	135.9175	3	0
31626	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31626	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31626	CMS	"Hypodermic, IV"	SC092	"catheter, needle (for CPT 31626)"	item	23.5575	1	0
31626	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	2	0
31626	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31626	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	12.7	1	0
31626	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31626	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31626	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31626	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31626	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31626	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31626	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31626	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31627	CMS	"Kit, Pack, Tray"	SA097	"kit, locatable guide, ext. working channel, w-b-scope adapter"	kit	1041.9225	1	0
31627	CMS	"Accessory, Procedure"	SD235	"sensor, patch, bronchosopy (for kit, locatable guide) (patient)"	item	2.785	3	0
31628	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31628	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31628	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31628	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
31628	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31628	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31628	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31628	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31628	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31628	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31628	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31628	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31628	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31628	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31629	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31629	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31629	CMS	"Hypodermic, IV"	SC043	"needle, transbronchial, cytology (Wang)"	item	62.0625	2	0
31629	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31629	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
31629	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31629	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31629	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31629	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31629	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31629	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31629	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31629	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31629	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31629	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31634	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31634	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31634	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31634	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31634	Mod sed	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31634	Mod sed	"Accessory, Procedure"	SD261	B5-2C Double Lumen Balloon 10 mm dia	item	126.75	1	0
31634	Mod sed	"Accessory, Procedure"	SD262	Insuffalator - Boston Scientific	item	85	1	0
31634	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31634	Mod sed	"Wound Care, Dressings"	SG094	"Tisseel Fibrin Glue, 1 ml"	ml	262.01	4	0
31634	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31634	Mod sed	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31634	Mod sed	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31634	Mod sed	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31634	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31634	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31634	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31635	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31635	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31635	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31635	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31635	Mod sed	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31635	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31635	Mod sed	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31635	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31635	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31645	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31645	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31645	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31645	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31645	RUC	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	175	0
31645	RUC	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
31645	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31645	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31645	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31645	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31645	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
31645	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31645	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31645	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31645	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31652	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31652	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31652	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31652	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"		214.595	2	0
31652	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	2	0
31652	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope		26.3813	1	0
31652	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31652	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31652	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31652	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31652	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31652	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31652	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31652	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31652	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31653	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31653	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
31653	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
31653	CMS	"Hypodermic, IV"	SC102	"EBUS, single use aspiration needle, 21g"		214.595	2	0
31653	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	2	0
31653	CMS	"Accessory, Procedure"	SD294	Balloon for Bronchoscopy Fiberscope		26.3813	1	0
31653	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31653	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31653	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
31653	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31653	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31653	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31653	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
31653	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
31653	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31654	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
31717	Mar03 cs	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
31717	Mar03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31717	Mar03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
31717	Mar03 cs	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	3	0
31717	Mar03 cs	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	14.75	2	0
31717	Mar03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
31717	Mar03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
31717	Mar03 cs	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
31717	Mar03 cs	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
31717	Mar03 cs	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31717	Mar03 cs	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
31717	Mar03 cs	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	0
31730	Feb05 U	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
31730	Feb05 U	"Kit, Pack, Tray"	SA091	"tray, scoop, fast track system"	tray	750	1	0
31730	Feb05 U	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
31730	Feb05 U	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
31730	Feb05 U	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
31730	Feb05 U	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
31730	Feb05 U	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
31730	Feb05 U	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	5	0
31730	Feb05 U	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
31750	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
31750	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
31750	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31750	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31750	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
31750	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
31750	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
31750	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
31750	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
31750	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
31750	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
31750	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
31750	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
31750	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
31750	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
31750	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31750	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
31755	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		5
31755	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
31755	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31755	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
31755	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
31755	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
31755	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		7
31755	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		7
31755	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		7
31755	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		7
31755	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
31755	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		20
31755	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
31755	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
31755	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		5
31760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31760	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31766	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
31770	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31775	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31775	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
31780	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31781	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31781	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31785	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
31785	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31786	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31800	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
31800	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
31800	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
31800	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1.5
31800	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5
31800	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2.5
31800	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2.5
31800	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
31800	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		2.5
31800	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		2.5
31800	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2.5
31800	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
31800	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
31800	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
31800	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
31805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
31805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
31820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
31820	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
31820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
31820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
31820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
31820	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
31820	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
31820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31820	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31820	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
31820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
31820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
31820	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
31820	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
31820	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
31820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	1
31820	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	12	0
31820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
31820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31820	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	20
31820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31820	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
31825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
31825	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
31825	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31825	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
31825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
31825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31825	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
31825	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
31825	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
31825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
31825	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
31825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
31825	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
31825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
31825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
31825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
31825	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
31825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
31825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	1
31825	CMS	"Wound Care, Dressings"	SG088	"tape, foam, elastic, 2in (Microfoam)"	inch	0.0044	12	0
31825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
31825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31825	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	20
31825	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31825	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
31830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
31830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
31830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
31830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
31830	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
31830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
31830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
31830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
31830	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
31830	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	1
31830	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	1
31830	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
31830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
31830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
31830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
31830	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
31830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
31830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	1
31830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
31830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
31830	CMS	"Pharmacy, Rx"	SH084	Kenalog 40 inj	ml	1.9625	4	2
31830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
31830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	20
31830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
31830	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
32035	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32035	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32035	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
32035	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
32035	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
32035	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
32035	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
32035	Sep02	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905		1
32035	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
32035	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
32035	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
32036	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32036	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32036	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
32036	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
32036	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
32036	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
32036	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
32036	Sep02	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905		1
32036	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
32036	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
32036	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
32096	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
32096	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32097	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
32097	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32098	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
32098	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32100	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
32100	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32110	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32120	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32124	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32124	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32140	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32141	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32150	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32151	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
32160	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32200	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32215	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
32220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32225	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
32320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32400	Mar03 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32400	Mar03 12	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
32400	Mar03 12	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
32400	Mar03 12	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
32400	Mar03 12	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
32400	Mar03 12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
32400	Mar03 12	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
32400	Mar03 12	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
32400	Mar03 12	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
32400	Mar03 12	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
32400	Mar03 12	Infection Control	SM011	"cleaning brush, instruments"	item	2.8625	1	0
32400	Mar03 12	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
32400	Mar03 12	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	3	0
32405	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32405	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
32405	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32405	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	0
32405	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
32405	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
32405	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	3	0
32405	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
32405	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
32405	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
32405	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	10	0
32405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
32440	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32440	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32445	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
32445	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32480	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32482	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32482	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32484	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32484	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32486	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32486	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32488	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32488	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32503	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32503	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32504	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32504	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32505	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32505	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32550	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32550	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
32550	Mod sed	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	384.44	1	0
32550	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
32550	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
32550	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
32550	Mod sed	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	27.04	2	0
32550	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	32	0
32552	CPT10 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
32552	CPT10 4	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
32552	CPT10 4	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
32552	CPT10 4	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
32552	CPT10 4	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32552	CPT10 4	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
32552	CPT10 4	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
32552	CPT10 4	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
32552	CPT10 4	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
32552	CPT10 4	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
32552	CPT10 4	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
32553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32553	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
32553	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
32553	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
32553	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
32553	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
32553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
32553	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
32553	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32553	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
32553	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
32553	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
32553	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
32553	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
32553	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
32553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
32553	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
32553	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
32553	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
32553	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
32553	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
32553	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
32554	RUC	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.269	1	0
32554	RUC	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	37.0225	1	0
32554	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32554	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32554	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32554	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32554	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0
32555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32555	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
32555	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.269	1	0
32555	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	37.0225	1	0
32555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
32555	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
32555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
32555	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32555	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	15	0
32555	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	3	0
32556	CPT13 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32556	CPT13 May 8	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	384.44	1	0
32556	CPT13 May 8	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
32556	CPT13 May 8	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32556	CPT13 May 8	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32556	CPT13 May 8	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32556	CPT13 May 8	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	25	0
32556	CPT13 May 8	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
32557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32557	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
32557	CMS	"Kit, Pack, Tray"	SA113	"Kit, thoracentesis"	kit	37.0225	1	0
32557	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
32557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
32557	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
32557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32557	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
32557	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32557	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
32557	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
32557	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
32557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
32557	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
32560	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32560	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32560	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32560	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
32560	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
32560	CMS	"Pharmacy, Rx"	SH070	"talc, sterile (Sclerosol) (4gm uou)"	item	116.7975	1	0
32561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32561	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32561	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
32561	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
32562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32562	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32562	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32562	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
32562	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
32650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32651	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32652	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32653	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32653	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32654	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32654	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32655	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32655	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32656	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32656	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32658	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32658	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32659	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32659	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32661	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32662	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32663	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32663	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32664	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32664	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32666	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32666	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32669	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32669	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32670	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32670	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32671	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32671	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32672	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32672	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32673	CPT12 May 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32673	CPT12 May 8	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32815	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
32815	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
32820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32851	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32851	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32852	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32852	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32853	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32853	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32854	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32854	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
32900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32906	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32906	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
32940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
32960	Feb05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
32960	Feb05	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
32960	Feb05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
32960	Feb05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
32960	Feb05	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
32960	Feb05	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
32960	Feb05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
32960	Feb05	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
32960	Feb05	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
32960	Feb05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
32960	Feb05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	10	0
32960	Feb05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
32994	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32994	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
32994	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
32994	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
32994	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
32994	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
32994	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32994	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
32994	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32994	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
32994	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32994	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
32994	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
32994	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
32994	RUC	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.6825	455	0
32994	RUC	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.3725	575	0
32994	RUC	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1173.805	3	0
32994	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
32994	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
32994	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
32994	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
32994	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.7648	1	0
32994	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
32994	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
32994	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
32994	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
32994	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
32994	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
32994	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
32994	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	3	0
32998	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
32998	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
32998	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
32998	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
32998	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
32998	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
32998	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
32998	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
32998	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
32998	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
32998	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
32998	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
32998	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
32998	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
32998	RUC	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1892.665	1	0
32998	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
32998	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
32998	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
32998	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
32998	RUC	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.7648	1	0
32998	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
32998	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
32998	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
32998	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
32998	RUC	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
32998	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
32998	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	3	0
33015	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33015	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33025	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33030	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
33030	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33031	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33031	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		2
33050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33120	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
33120	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33202	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33202	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33203	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33206	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33207	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33208	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33208	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33212	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33212	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33213	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33213	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33214	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33214	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33216	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33216	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33217	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33217	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33218	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33218	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33221	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33221	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33222	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33222	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33223	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33223	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33227	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33227	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33228	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33228	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33229	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33229	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33230	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33230	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33231	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33231	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33233	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33233	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33234	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33234	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33235	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33236	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33237	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33237	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33238	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
33238	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33240	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33240	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33241	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33241	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33243	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33243	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33244	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
33244	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33249	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33249	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33250	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33254	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33254	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33255	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33255	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33256	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33256	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33257	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33257	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33258	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33258	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33259	CPT08 22	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33259	CPT08 22	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33261	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33262		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33262		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33263	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33263	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33264	CPT12 May 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33264	CPT12 May 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33265	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33265	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33266	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33266	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33270	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33270	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33271	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33271	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33272	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33272	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33273	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33273	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
332X5	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
332X5	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
332X5	RUC	"Kit, Pack, Tray"	SA127	subcutaneous cardiac rhythm monitor system	item	5032.5	1	0
332X5	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
332X5	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
332X5	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
332X5	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
332X5	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
332X5	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
332X5	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
332X5	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	0
332X5	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	1	0
332X5	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
332X5	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
332X5	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
332X5	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
332X5	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
332X5	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
332X5	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
332X5	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
332X6	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
332X6	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
332X6	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
332X6	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
332X6	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
332X6	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
332X6	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
332X6	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
332X6	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
332X6	RUC	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	0
332X6	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	1	0
332X6	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
332X6	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
332X6	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
332X6	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
332X6	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
332X6	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
332X6	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
332X6	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
33300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33315	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
33315	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33321	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33390	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33390	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33391	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33391	RUC	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33404	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33404	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33405	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33405	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33410	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33411	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33411	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33412	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33412	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33413	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33413	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33414	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33414	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33415	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33416	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33417	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33417	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33418	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33422	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33422	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33425	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33426	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33427	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33427	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33430	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33430	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33460	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33463	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33463	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33464	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33464	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33465	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33465	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33468	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
33468	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33470	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33470	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33471	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33474	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33474	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33475	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33475	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33476	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33476	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33478	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33478	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33501	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33501	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33503	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33504	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33504	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33505	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33506	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33507	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33507	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33510	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33511	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33511	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
33512	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33513	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33513	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33514	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33514	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33516	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		2
33533	CPT13 May 43	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33533	CPT13 May 43	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33534	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33534	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33542	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33542	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33545	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33548	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33548	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
335X1	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
335X1	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33602	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33606	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33608	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33610	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33611	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33612	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33615	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33617	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33617	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33619	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		7
33619	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33620	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33620	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33621	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33621	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33622	CPT11 4	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33622	CPT11 4	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33641	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33645	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
33645	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33647	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33647	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33660	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33665	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33670	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33675	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33675	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33676	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33676	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33677	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33677	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33681	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33681	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33684	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33684	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33688	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33688	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33690	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33692	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33692	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33694	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33694	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33697	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33697	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33702	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33710	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33710	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33720	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33722	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33724	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33724	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33726	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33726	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33730	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33730	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33732	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33732	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33735	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33736	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33736	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33737	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33737	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33750	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33755	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33755	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33762	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33762	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33764	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33764	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33766	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33767	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33767	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33770	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33771	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33771	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33774	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33774	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33775	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33775	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33776	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33777	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33777	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33778	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33778	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33779	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33779	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33780	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33781	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33781	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33782	CPT10 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33782	CPT10 6	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33783	CPT10 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33783	CPT10 6	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33786	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33788	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33800	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33802	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33803	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33803	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33813	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33813	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33814	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33814	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33820	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33822	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33824	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33824	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33840	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33845	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33851	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33852	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33853	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33853	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33863	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33863	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33864	CPT08 23	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33864	CPT08 23	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33875	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33875	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33877	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33877	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33880	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33880	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33881	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33881	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33883	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33883	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33886	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33886	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33910	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
33910	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33915	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33915	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33916	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
33916	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33917	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33917	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33920	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33922	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33922	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33925	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33925	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33926	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33926	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33935	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
33935	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33945	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
33945	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
33971	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33971	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33974	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
33974	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
33X05	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33X05	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
33X06	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
33X06	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34051	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34051	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34203	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34203	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34401	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34401	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34421	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34421	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34451	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34451	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34471	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34471	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34490	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
34501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
34520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
34530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
34530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
34530	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
34530	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
34701	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34701	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34702	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34702	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34703	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34703	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34704	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34704	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34705	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34705	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34706	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34706	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34707	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34707	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34708	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34708	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34710	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34710	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34712	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
34712	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34831	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
34832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
34832	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35002	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35002	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35011	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35011	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35013	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35013	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35021	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35021	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35022	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35022	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35045	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35045	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35045	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35081	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35081	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35082	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35082	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35091	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35091	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35092	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35092	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35102	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35103	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35103	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35131	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35131	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35132	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35132	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35151	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35152	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35182	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35184	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35184	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35188	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35188	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35189	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35189	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35206	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35206	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35206	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35207	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35207	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35207	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35211	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35211	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35216	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35216	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35221	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35221	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35226	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35226	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35226	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35226	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35231	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35231	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35236	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35236	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35236	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35236	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35241	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35241	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35246	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35246	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35251	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
35256	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35256	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35261	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35266	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35266	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35266	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35271	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35276	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35276	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35281	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35286	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35286	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35301	CPT14 Mar 3	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35301	CPT14 Mar 3	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35302	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35302	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35303	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35303	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35304	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35304	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35305	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35305	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35311	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35311	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35321	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35331	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35341	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35351	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35355	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35355	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35361	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35363	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35363	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35371	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35371	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35372	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35372	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35501	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35501	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35501	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35506	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35506	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35508	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35508	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35509	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35509	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35509	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35510	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35511	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35511	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35512	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35521	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35522	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35523	CPT08 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35523	CPT08 25	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35523	CPT08 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
35525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35525	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35526	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35526	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35533	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35535	CPT09 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35535	CPT09 7	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35536	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35537	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35537	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35538	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35538	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35539	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35539	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35540	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35540	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35556	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35558	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35563	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35563	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35565	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35566	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35570	CPT09 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35570	CPT09 8	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35571	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35571	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35583	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35583	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35585	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35585	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
35585	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
35585	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1
35585	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		4
35587	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35587	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35587	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
35587	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1
35601	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35601	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35601	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35606	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35612	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35612	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35616	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35621	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35621	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35623	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35623	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35626	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35631	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35632	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35632	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35633	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35633	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35634	CPT09 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35634	CPT09 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35636	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35636	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35637	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35637	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35638	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35638	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35642	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35642	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35645	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35645	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35646	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35646	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35647	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35647	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35654	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35654	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35656	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35656	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35661	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35663	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35663	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35665	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35665	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35666	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35666	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35666	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
35666	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
35666	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
35666	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1
35666	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		6
35666	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
35666	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		100
35666	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		10
35666	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
35671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35671	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35671	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		9
35671	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
35671	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
35671	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		54
35671	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		90
35671	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		9
35691	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35691	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35693	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35693	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35694	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35694	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35695	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35695	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35701	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35701	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35721	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35721	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35721	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35721	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35741	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35741	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35741	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35741	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35761	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35761	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35761	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35761	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35800	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35800	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
35840	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35840	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35860	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35860	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35875	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35875	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35875	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35876	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35876	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35876	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35876	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35879	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35879	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35879	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35881	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35881	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35881	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35881	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		360
35881	Sep02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		2
35883	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35883	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35884	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
35884	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
35901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
35901	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35901	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35901	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35903	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35903	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
35903	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
35903	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		11
35903	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1
35903	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
35905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35905	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
35907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
35907	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36000		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36000		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
36000		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
36000		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36000		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36000		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36000		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36000		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36002		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36002		"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36002		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
36002		"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
36002		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
36002		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36002		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	0
36002		"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	2	0
36002		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36002		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
36002		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36005	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36005	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36005	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36005	Oct00	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36005	Oct00	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
36005	Oct00	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
36005	Oct00	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
36005	Oct00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36005	Oct00	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36005	Oct00	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
36005	Oct00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36005	Oct00	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
36005	Oct00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36005	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
36010	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36010	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36010	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36010	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36010	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36010	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36010	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36010	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36010	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36010	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36010	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
36010	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36010	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36010	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36010	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
36010	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36010	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36010	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36010	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36010	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36010	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36010	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36010	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36010	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36011	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36011	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36011	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36011	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36011	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36011	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36011	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36011	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36011	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36011	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36011	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36011	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36011	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36011	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36011	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36011	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36011	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36011	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36011	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36011	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36011	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36011	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36011	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36011	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36011	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36011	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36012	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36012	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36012	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36012	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36012	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36012	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36012	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36012	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36012	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36012	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36012	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36012	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36012	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36012	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36012	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36012	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36012	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36012	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36012	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36012	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36012	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36012	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36012	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36012	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36012	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36012	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36013	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36013	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36013	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36013	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36013	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36013	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36013	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36013	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36013	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36013	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36013	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36013	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36013	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36013	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36013	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36013	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36013	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36013	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36013	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36013	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36013	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36013	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36013	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36013	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36013	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36013	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36014	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36014	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36014	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36014	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36014	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36014	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36014	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36014	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36014	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36014	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36014	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36014	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36014	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36014	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36014	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36014	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36014	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36014	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36014	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36014	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36014	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36014	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36014	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36014	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36014	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36014	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36015	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36015	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36015	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36015	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36015	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36015	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36015	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36015	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36015	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36015	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36015	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36015	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36015	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36015	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36015	Jan04 9	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36015	Jan04 9	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36015	Jan04 9	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36015	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36015	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36015	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36015	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36015	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36015	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36015	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36015	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36015	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36100	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36100	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36100	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36100	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36100	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36100	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36100	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36100	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36100	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36100	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36100	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36100	Jan04 9	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36100	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36100	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36100	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
36100	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36100	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36100	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36100	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36100	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36100	Jan04 9	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36100	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36100	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36100	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36140	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36140	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36140	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36140	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36140	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36140	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36140	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36140	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36140	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36140	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36140	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36140	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36140	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36140	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
36140	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36140	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36140	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36140	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36140	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36140	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36140	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36160	Jan04 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36160	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36160	Jan04 9	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36160	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36160	Jan04 9	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36160	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36160	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36160	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36160	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36160	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36160	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36160	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36160	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36160	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
36160	Jan04 9	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36160	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36160	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36160	Jan04 9	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36160	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36160	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36160	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36200	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36200	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36200	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36200	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36200	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36200	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36200	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36200	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36200	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36200	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36200	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
36200	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36200	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36200	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36200	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36200	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36200	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36200	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
36200	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36200	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36215	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36215	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36215	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36215	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36215	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36215	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36215	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36215	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36215	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36215	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36215	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36215	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36215	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36215	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36215	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36215	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36215	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36215	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36215	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36215	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36215	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36215	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36215	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36215	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36215	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36215	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36215	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36215	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36215	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36215	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36216	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36216	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36216	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36216	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36216	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36216	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36216	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36216	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36216	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36216	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36216	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36216	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36216	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36216	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36216	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36216	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36216	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36216	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36216	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36216	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36216	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36216	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36216	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36216	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36216	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36216	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36216	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36216	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36216	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36216	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36216	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36217	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36217	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36217	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36217	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36217	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36217	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36217	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36217	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36217	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36217	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36217	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36217	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36217	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36217	RUC	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36217	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36217	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36217	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36217	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
36217	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36217	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36217	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36217	RUC	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36217	RUC	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36217	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36217	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36217	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36217	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36217	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36217	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36217	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36217	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36217	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36217	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36217	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36218	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36218	RUC	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.8937	1	0
36221	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36221	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36221	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36221	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36221	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36221	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36221	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36221	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36221	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36221	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36221	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36221	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36221	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36221	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36221	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36221	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36221	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36221	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36221	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36221	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36221	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36221	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36221	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36221	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36221	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36221	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36221	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36221	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36221	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36221	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36221	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36221	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36221	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36221	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36222	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36222	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36222	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36222	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36222	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36222	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36222	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36222	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36222	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36222	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36222	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36222	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36222	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36222	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36222	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36222	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36222	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36222	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36222	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36222	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36222	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36222	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36222	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36222	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36222	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36222	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36222	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36222	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36222	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36222	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36222	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36222	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36222	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36222	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36222	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36223	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36223	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36223	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36223	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36223	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36223	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36223	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36223	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36223	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36223	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36223	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36223	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36223	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36223	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36223	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36223	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36223	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36223	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36223	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36223	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36223	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36223	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36223	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36223	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36223	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36223	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36223	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36223	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36223	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36223	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36223	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36223	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36223	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36223	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36223	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36223	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36224	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36224	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36224	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36224	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36224	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36224	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36224	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36224	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36224	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36224	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36224	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36224	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36224	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36224	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36224	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36224	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36224	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36224	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36224	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36224	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36224	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36224	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36224	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36224	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36224	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36224	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36224	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36224	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36224	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36224	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36224	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36224	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36224	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36224	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36224	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36224	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36225	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36225	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36225	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36225	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36225	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36225	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36225	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36225	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36225	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36225	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36225	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36225	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36225	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36225	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36225	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36225	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36225	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36225	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36225	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36225	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36225	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36225	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36225	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36225	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36225	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36225	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36225	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36225	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36225	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36225	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36225	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36225	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36225	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36225	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36225	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36225	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36226	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36226	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36226	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36226	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36226	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36226	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36226	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36226	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36226	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36226	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36226	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36226	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36226	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36226	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36226	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36226	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36226	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36226	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36226	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36226	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36226	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36226	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36226	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36226	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	0
36226	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36226	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36226	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36226	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36226	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36226	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36226	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36226	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36226	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36226	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36226	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36226	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36228	Mod sed	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.0955	4	0
36228	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36228	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36245	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36245	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36245	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36245	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36245	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36245	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36245	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36245	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36245	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36245	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36245	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36245	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36245	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36245	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36245	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36245	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36245	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36245	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36245	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36245	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36245	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36245	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36245	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36245	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36245	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36245	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36245	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36245	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36245	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36245	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36245	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36245	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
36245	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36245	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36246	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36246	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36246	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36246	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36246	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36246	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36246	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36246	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36246	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36246	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36246	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36246	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36246	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36246	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36246	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36246	Mod sed	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	14.75	1	0
36246	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36246	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36246	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36246	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36246	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36246	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36246	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36246	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36246	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36246	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36247	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36247	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36247	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36247	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36247	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36247	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36247	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36247	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
36247	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36247	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36247	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36247	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36247	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36247	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36247	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36247	Mod sed	"Accessory, Procedure"	SD141	"brush, protected airway specimen"	item	14.75	1	0
36247	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36247	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36247	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36247	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36247	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36247	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36247	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36247	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36247	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36247	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36247	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36247	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36248	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36248	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36251	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36251	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36251	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36251	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36251	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36251	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36251	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36251	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36251	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36251	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36251	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36251	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36251	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36251	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36251	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36251	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36251	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36251	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36251	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36251	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36251	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36251	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36251	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36251	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36251	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36251	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36251	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36251	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36251	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36251	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36251	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36251	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36251	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
36251	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36251	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36252	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36252	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36252	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36252	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36252	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36252	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36252	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36252	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36252	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36252	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36252	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36252	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36252	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36252	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36252	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36252	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36252	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36252	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36252	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36252	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36252	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36252	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36252	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36252	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36252	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36252	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36252	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36252	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36252	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36252	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36252	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36252	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36252	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
36252	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36252	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36253	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36253	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36253	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36253	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36253	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36253	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36253	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36253	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36253	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36253	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36253	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36253	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36253	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36253	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36253	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36253	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36253	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36253	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36253	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36253	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36253	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36253	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36253	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36253	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36253	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36253	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36253	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36253	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36253	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36253	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36253	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36253	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36253	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36253	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36253	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
36253	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36253	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36254	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36254	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36254	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36254	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36254	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
36254	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36254	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36254	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36254	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36254	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36254	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
36254	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
36254	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36254	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36254	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36254	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36254	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
36254	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36254	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36254	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36254	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36254	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36254	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36254	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36254	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
36254	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
36254	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36254	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36254	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36254	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
36254	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36254	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36254	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36254	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36254	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
36254	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36254	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36260	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
36260	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
36260	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
36261	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36261	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
36262	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36262	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
36400	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
36400	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36400	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36400	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36400	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36405	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
36405	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36405	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36405	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36405	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36406	Mar02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
36406	Mar02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36406	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36406	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36406	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36410	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
36410	CPT11	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36410	CPT11	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36410	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36410	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36430	Mar04 N	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
36430	Mar04 N	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
36430	Mar04 N	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
36430	Mar04 N	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	
36430	Mar04 N	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
36430	Mar04 N	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
36430	Mar04 N	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
36430	Mar04 N	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	
36430	Mar04 N	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
36430	Mar04 N	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
36430	Mar04 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
36465	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36465	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36465	RUC	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0
36465	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36465	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36465	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36465	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36465	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36465	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36465	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36465	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36465	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36465	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36465	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36465	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
36465	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36465	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36465	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36465	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36465	RUC	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0
36465	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36465	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	2	0
36465	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
36465	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36465	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
36465	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36465	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36465	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36465	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36465	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36465	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	2	0
36465	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36465	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36465	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36465	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36466	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36466	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36466	RUC	"Kit, Pack, Tray"	SA125	Varithena admin pack	pack	40	1	0
36466	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36466	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36466	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36466	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36466	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36466	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36466	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36466	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36466	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36466	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36466	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
36466	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
36466	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36466	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36466	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	0
36466	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36466	RUC	"Accessory, Procedure"	SD324	Varithena (foam)	item	3195	0.33	0
36466	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36466	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	2	0
36466	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
36466	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
36466	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
36466	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36466	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
36466	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36466	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36466	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36466	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	2	0
36466	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36466	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36466	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36466	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36470	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36470	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36470	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36470	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36470	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36470	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36470	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36470	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36470	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
36470	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	1	0
36470	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
36470	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
36470	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	10	0
36470	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36470	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36470	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36470	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36471	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36471	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36471	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36471	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36471	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36471	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36471	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36471	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36471	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
36471	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	1	0
36471	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
36471	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
36471	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	20	0
36471	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36471	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36471	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36471	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36473	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36473	CMS	"Kit, Pack, Tray"	SA122	Claravein Kit		811.25	1	0
36473	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36473	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36473	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36473	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36473	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36473	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36473	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36473	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36473	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36473	CMS	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36473	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36473	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
36473	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36473	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36473	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36473	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36473	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36473	CMS	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	1	0
36473	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36473	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36473	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36473	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36473	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36473	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36473	CMS	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	114.6725	1	0
36473	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36473	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36473	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
36473	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36473	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36473	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36473	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36474	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36474	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36474	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36474	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
36474	RUC	"Pharmacy, Rx"	SH108	Sotradecol Sclerosing Agent	Vial	114.6725	1	0
36475	RUC	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	202.175	1	0
36475	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36475	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
36475	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36475	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36475	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36475	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36475	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36475	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
36475	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36475	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36475	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36475	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
36475	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
36475	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
36475	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
36475	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
36475	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36475	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36475	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
36475	RUC	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	17.7825	1	0
36475	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
36475	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36475	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	0
36475	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36475	RUC	"Accessory, Procedure"	SD155	"catheter, RF endovenous occlusion"	item	796.3875	1	0
36475	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36475	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
36475	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36475	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36475	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36475	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	47.5547	1	0
36475	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	60	0
36475	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36475	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36475	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
36475	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
36475	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
36475	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36475	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36475	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
36475	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	10	0
36475	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36475	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36476	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36476	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36476	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
36476	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
36476	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36476	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
36476	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36476	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36476	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36476	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36476	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36476	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
36476	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36476	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
36476	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	10	0
36476	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36478	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36478	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
36478	RUC	"Kit, Pack, Tray"	SA074	"kit, endovascular laser treatment"	kit	467.615	1	0
36478	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36478	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36478	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36478	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36478	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
36478	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36478	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36478	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36478	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
36478	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
36478	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
36478	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
36478	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
36478	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36478	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
36478	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
36478	RUC	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	0
36478	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36478	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
36478	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36478	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36478	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36478	RUC	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	47.5547	1	0
36478	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	60	0
36478	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36478	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36478	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
36478	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
36478	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
36478	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36478	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36478	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
36478	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	10	0
36478	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36478	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36479	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36479	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36479	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
36479	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
36479	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36479	RUC	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
36479	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36479	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36479	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36479	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36479	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36479	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
36479	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36479	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
36479	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	10	0
36479	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36481	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36481	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36481	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36481	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36481	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
36481	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36481	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36481	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36481	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36481	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
36481	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36481	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36481	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36481	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36481	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
36481	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36481	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36481	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36481	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36481	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36481	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
36481	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.8937	1	0
36481	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
36481	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
36481	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36481	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
36481	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36481	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36481	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
36481	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36481	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36481	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
36481	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36481	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36481	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36481	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36481	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
36481	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36482	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36482	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36482	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36482	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36482	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
36482	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
36482	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36482	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36482	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36482	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
36482	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36482	RUC	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
36482	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36482	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
36482	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36482	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36482	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36482	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36482	RUC	"Accessory, Procedure"	SD323	Venaseal (glue)	item	1495	1	0
36482	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36482	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143	2	0
36482	RUC	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
36482	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36482	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
36482	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36482	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36482	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
36482	RUC	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
36482	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36482	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	2	0
36482	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
36482	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36482	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36482	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
36483	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36483	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36483	RUC	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
36483	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
36510	Mar04 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36510	Mar04 N	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
36510	Mar04 N	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
36510	Mar04 N	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36510	Mar04 N	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	0
36510	Mar04 N	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
36510	Mar04 N	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36510	Mar04 N	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
36510	Mar04 N	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
36510	Mar04 N	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	0
36510	Mar04 N	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
36510	Mar04 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
36514	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	2	0
36514	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	4	0
36514	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36514	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36514	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36514	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
36514	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	0
36514	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36514	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	3	0
36514	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	8	0
36514	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
36514	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	8	0
36514	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	1	0
36514	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	7.5494	1	0
36514	RUC	"Hypodermic, IV"	SC085	"tubing set, plasma exchange"	item	251.775	1	0
36514	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0
36514	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.1475	1	0
36514	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	12	0
36514	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	4	0
36514	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36514	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.5139	4	0
36514	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	14	0
36514	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	7.485	1	0
36514	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	2	0
36514	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	1000	0
36514	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0
36516	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	2	0
36516	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	4	0
36516	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36516	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36516	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36516	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
36516	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	0
36516	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36516	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	3	0
36516	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	8	0
36516	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
36516	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	8	0
36516	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	1	0
36516	RUC	"Hypodermic, IV"	SC083	tubing set (Liposorber)	item	49.42	1	0
36516	RUC	"Hypodermic, IV"	SC084	"tubing set, blood warmer"	item	7.5494	1	0
36516	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0
36516	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.1475	1	0
36516	RUC	"Accessory, Procedure"	SD186	plasma LDL adsorption column (Liposorber)	item	1163.1	1	0
36516	RUC	"Accessory, Procedure"	SD188	plasma separator (Liposorber)	item	97.33	1	0
36516	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	12	0
36516	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	4	0
36516	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36516	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.5139	4	0
36516	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	14	0
36516	RUC	"Pharmacy, NonRx"	SJ071	ACD-A anticoagulant	item	7.485	1	0
36516	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	2	0
36516	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	1000	0
36516	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0
36522	RUC	"Kit, Pack, Tray"	SA024	"kit, photopheresis procedure"	kit	1414.39	1	0
36522	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	2	0
36522	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	4	0
36522	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36522	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36522	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36522	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36522	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
36522	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	0
36522	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36522	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	3	0
36522	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	8	0
36522	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36522	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
36522	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	8	0
36522	RUC	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	1	0
36522	RUC	"Hypodermic, IV"	SC088	"fistula needle, dialysis, 17g"	item	1.5225	2	0
36522	RUC	"Hypodermic, IV"	SC089	"needle, Vacutainer"	item	0.32	1	0
36522	RUC	"Hypodermic, IV"	SC091	Vacutainer	item	6.1475	1	0
36522	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	12	0
36522	RUC	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	4	0
36522	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	0
36522	RUC	"Pharmacy, Rx"	SH093	"heparin 5,000 units-ml inj"	ml	0.5139	4	0
36522	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	1	0
36522	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	14	0
36522	RUC	"Pharmacy, NonRx"	SJ075	"methoxsalen, 10ml vial"	item	52.2325	1	0
36522	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	2	0
36522	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	1	0
36522	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	1000	0
36522	RUC	Lab	SL197	label for blood tube	item	0.0035	2	0
36555	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	69.8925	1	0
36555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36555	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36555	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36555	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36555	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
36555	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36555	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36555	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36555	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36555	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36555	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36555	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36555	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36555	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36555	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
36555	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36555	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36555	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36556	RUC	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	69.8925	1	0
36556	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36556	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36556	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
36556	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36556	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36556	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
36556	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36556	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36556	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36556	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36556	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36556	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36556	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36556	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36556	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36556	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
36556	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36556	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36556	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36557	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	355.9125	1	0
36557	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36557	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36557	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36557	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36557	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36557	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36557	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36557	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36557	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36557	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36557	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36557	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36557	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36557	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36557	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36557	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36557	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36557	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36557	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36557	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36557	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36557	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36557	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36558	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	355.9125	1	0
36558	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36558	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36558	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36558	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36558	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36558	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36558	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36558	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36558	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36558	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36558	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36558	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36558	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36558	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36558	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36558	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36558	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36558	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36558	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36558	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36558	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36558	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36558	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36560	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	498.9325	1	0
36560	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36560	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36560	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36560	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36560	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36560	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36560	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36560	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36560	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36560	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36560	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36560	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36560	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36560	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36560	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36560	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36560	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36560	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36560	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36560	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36560	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36560	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36560	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36561	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	498.9325	1	0
36561	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36561	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36561	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36561	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36561	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36561	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36561	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36561	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36561	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36561	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36561	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36561	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36561	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36561	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36561	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36561	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36561	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36561	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36561	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36561	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36561	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36561	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36561	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36563	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	498.9325	1	0
36563	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36563	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36563	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36563	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36563	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36563	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36563	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36563	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36563	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36563	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36563	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36563	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36563	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36563	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36563	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36563	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36563	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36563	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36563	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36563	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36563	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36563	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36563	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36565	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36565	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36565	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36565	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36565	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36565	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36565	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36565	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36565	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36565	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36565	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36565	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36565	Mod sed	"Accessory, Procedure"	SD020	"catheter, CVA, tunneled, dual (Tesio)"	item	346.6125	1	0
36565	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	2	0
36565	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36565	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36565	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36565	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	9	0
36565	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36565	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36565	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36565	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36565	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36565	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36566	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36566	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36566	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36566	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36566	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36566	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36566	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36566	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36566	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36566	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36566	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36566	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36566	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	2	0
36566	Mod sed	"Accessory, Procedure"	SD221	"catheter, CVA, system, tunneled w-port, dual (LifeSite)"	item	1750	2	0
36566	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36566	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
36566	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
36566	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36566	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36566	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
36566	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36566	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36566	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36566	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36570	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36570	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	619.045	1	0
36570	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36570	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36570	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36570	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36570	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36570	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36570	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36570	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36570	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36570	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36570	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36570	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36570	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36570	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36570	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36570	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36570	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36570	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36570	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36570	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36570	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36570	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36571	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36571	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	619.045	1	0
36571	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36571	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36571	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36571	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36571	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36571	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36571	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36571	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36571	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36571	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36571	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36571	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36571	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36571	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36571	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36571	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36571	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36571	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36571	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36571	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36571	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36571	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36575		"Kit, Pack, Tray"	SA012	"kit, CVA device repair"	kit	94.23	1	0
36575		"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36575		"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36575		"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36575		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36575		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36575		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36575		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36575		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36575		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36575		"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36575		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36575		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36575		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36575		"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36575		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36575		"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36575		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36575		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36575		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36576	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36576	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36576	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36576	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36576	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36576	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36576	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36576	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36576	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36576	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36576	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36576	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36576	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
36576	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36576	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36576	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36576	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36576	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36576	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36576	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36576	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36576	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36576	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36578	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36578	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36578	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36578	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36578	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36578	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36578	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36578	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36578	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36578	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36578	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36578	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36578	Mod sed	"Accessory, Procedure"	SD021	"catheter, CVA, non-tunneled"	item	112.2925	1	0
36578	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36578	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36578	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36578	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36578	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36578	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36578	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36578	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36578	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36578	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36578	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36580	CMS	"Kit, Pack, Tray"	SA009	"kit, CVA catheter, non-tunneled"	kit	69.8925	1	0
36580	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36580	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36580	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36580	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36580	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36580	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36580	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36580	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36580	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36580	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36580	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36580	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36580	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36580	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36580	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36580	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36580	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36580	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36580	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36580	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36580	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36581	Mod sed	"Kit, Pack, Tray"	SA010	"kit, CVA catheter, tunneled, without port-pump"	kit	355.9125	1	0
36581	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36581	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36581	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36581	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36581	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36581	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36581	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36581	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36581	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36581	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36581	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36581	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36581	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	2	0
36581	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36581	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36581	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36581	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36581	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36581	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36581	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36581	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36581	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36581	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36582	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	498.9325	1	0
36582	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36582	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36582	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36582	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36582	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36582	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36582	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36582	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36582	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36582	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36582	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36582	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36582	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36582	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36582	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36582	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36582	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36582	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36582	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36582	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36582	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36582	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36582	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36583	Mod sed	"Kit, Pack, Tray"	SA011	"kit, CVA catheter, tunneled, with subcut port"	kit	498.9325	1	0
36583	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36583	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36583	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36583	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36583	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36583	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36583	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36583	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36583	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36583	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36583	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36583	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36583	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36583	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36583	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36583	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36583	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36583	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36583	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36583	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36583	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36583	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36583	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36584	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36584	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36584	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36584	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
36584	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36584	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36584	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36584	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36584	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36584	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36584	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0
36584	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
36584	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	0
36584	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36584	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36584	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36584	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
36584	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36584	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	22	0
36585	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	2	0
36585	Mod sed	"Kit, Pack, Tray"	SA025	"kit, PICC with subcut port"	kit	619.045	1	0
36585	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36585	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36585	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36585	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36585	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36585	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36585	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36585	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36585	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36585	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36585	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36585	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36585	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36585	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36585	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
36585	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36585	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36585	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36585	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36585	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36585	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36589		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36589		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
36589		"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36589		"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36589		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36589		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36589		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
36589		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36589		"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36589		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36589		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36589		"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36589		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36589		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36590	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
36590	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36590	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36590	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36590	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36590	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36590	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36590	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
36590	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36590	Mod sed	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36590	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
36590	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
36590	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
36590	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36590	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36590	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36590	Mod sed	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36590	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
36590	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36591	CPT08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
36591	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
36591	CPT08	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
36591	CPT08	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
36591	CPT08	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	
36591	CPT08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
36591	CPT08	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
36591	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
36591	CPT08	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
36591	CPT08	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
36591	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	7	
36591	CPT08	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	3	
36591	CPT08	Lab	SL085	label for microscope slides	item	0.0545	6	
36592	CPT08 26	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
36592	CPT08 26	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
36592	CPT08 26	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
36592	CPT08 26	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
36592	CPT08 26	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
36592	CPT08 26	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
36592	CPT08 26	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
36592	CPT08 26	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
36592	CPT08 26	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
36592	CPT08 26	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	4	
36592	CPT08 26	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
36592	CPT08 26	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
36592	CPT08 26	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	7	
36592	CPT08 26	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	3	
36592	CPT08 26	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	3	
36592	CPT08 26	Lab	SL085	label for microscope slides	item	0.0545	6	
36593	CPT08	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
36593	CPT08	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
36593	CPT08	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
36593	CPT08	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
36593	CPT08	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
36593	CPT08	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	
36593	CPT08	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	
36593	CPT08	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
36593	CPT08	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
36593	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
36593	CPT08	Lab	SL144	thrombin reagent (Thromboquik)	ml	2.7903	1	
36595		"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	301.125	1	0
36595		"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36596		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
36596		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36596		"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36596		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
36596		"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36596		"Accessory, Procedure"	SD008	"brush, ureteral"	item	45.0725	1	0
36596		"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36596		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
36597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36597	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
36597	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36597	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
36597	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
36597	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
36597	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36597	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
36597	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
36597	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
36597	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36597	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36597	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36597	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
36597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36597	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36597	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
36597	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
36597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
36597	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36597	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36598	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
36598	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
36598	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36598	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36598	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36598	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36598	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
36598	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
36598	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
36598	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	1	0
36598	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36598	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	0
36598	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36598	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	30	0
36600	RUC	"Kit, Pack, Tray"	SA003	"kit, arterial blood gas (ABG)"	kit	1.6713	1	0
36600	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
36600	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
36600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
36600	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
36600	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
36600	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
36818	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36818	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36819	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36819	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36820	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36820	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36821	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36821	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36823	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
36823	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
36825	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36825	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36830	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36830	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36831	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36831	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36832	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36832	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36833	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36833	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
36835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
36835	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
36835	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
36835	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
36838	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
36838	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
36860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36860	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
36860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36860	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
36860	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
36860	CMS	"Accessory, Procedure"	SD008	"brush, ureteral"	item	45.0725	1	0
36860	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36901	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36901	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36901	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36901	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36901	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36901	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36901	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36901	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36901	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36901	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36901	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36901	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36901	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36901	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36901	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36901	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36901	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36901	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
36901	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36901	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36901	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36901	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36901	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36901	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36902	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36902	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36902	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36902	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36902	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36902	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36902	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36902	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36902	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36902	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36902	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36902	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36902	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36902	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36902	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36902	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36902	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36902	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36902	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36902	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36902	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36902	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36902	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36902	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36902	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36902	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36902	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36902	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36902	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36902	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36902	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
36902	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36902	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36902	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36902	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36902	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36902	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36902	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36903	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36903	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36903	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36903	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36903	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36903	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36903	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36903	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36903	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36903	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36903	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36903	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36903	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36903	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36903	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36903	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36903	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36903	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36903	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36903	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36903	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36903	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
36903	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36903	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3469.25	1	0
36903	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36903	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36903	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36903	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
36903	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36903	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36903	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36903	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36903	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36903	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36903	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36904	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
36904	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36904	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36904	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36904	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36904	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36904	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36904	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36904	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36904	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36904	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36904	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36904	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36904	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
36904	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36904	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36904	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36904	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36904	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36904	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36904	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36904	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
36904	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36904	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36904	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	2	0
36904	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36904	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36904	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36904	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36904	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36904	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36904	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36905	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
36905	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36905	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36905	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36905	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36905	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36905	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36905	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36905	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36905	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36905	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36905	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36905	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36905	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36905	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36905	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36905	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36905	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36905	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
36905	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36905	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36905	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36905	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36905	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36905	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36905	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36905	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36905	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36905	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36905	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
36905	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36905	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36905	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36905	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	2	0
36905	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36905	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36905	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36905	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36905	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36905	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36905	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36906	CMS	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
36906	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
36906	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
36906	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36906	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36906	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36906	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
36906	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
36906	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
36906	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36906	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36906	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36906	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36906	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36906	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
36906	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
36906	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
36906	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
36906	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
36906	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
36906	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
36906	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
36906	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36906	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36906	CMS	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36906	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
36906	CMS	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
36906	CMS	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
36906	CMS	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36906	CMS	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3469.25	1	0
36906	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
36906	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
36906	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
36906	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
36906	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
36906	CMS	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	2	0
36906	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
36906	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36906	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36906	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
36906	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
36906	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36906	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
36907	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36907	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36907	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36907	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36907	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	2	0
36908	RUC	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1434.645	1	0
36908	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36908	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
36908	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
36908	RUC	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
36908	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	2	0
36909	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
36909	RUC	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1001.075	1	0
36909	RUC	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	192.6325	2	0
36X72	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36X72	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36X72	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
36X72	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36X72	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
36X72	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36X72	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36X72	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36X72	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36X72	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36X72	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36X72	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0
36X72	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
36X72	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	0
36X72	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36X72	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36X72	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36X72	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
36X72	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
36X72	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36X72	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	22	0
36X73	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
36X73	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
36X73	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
36X73	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
36X73	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
36X73	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
36X73	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
36X73	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
36X73	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
36X73	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
36X73	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
36X73	RUC	"Accessory, Procedure"	SD331	Turbo-Ject PICC Line	item	170	1	0
36X73	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
36X73	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	0
36X73	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
36X73	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
36X73	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
36X73	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
36X73	RUC	"Pharmacy, NonRx"	SJ089	"ultrasound transmission gel, sterile (single use)"		1.8525	1	0
36X73	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
36X73	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	22	0
37140	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
37140	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37145	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
37145	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37160	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
37160	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37180	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37180	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37181	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
37181	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37183	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37183	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37183	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37183	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37183	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
37183	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37183	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37183	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37183	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37183	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37183	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37183	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
37183	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37183	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37183	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37183	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37183	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37183	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	0
37183	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37183	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37183	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.8937	1	0
37183	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37183	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37183	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37183	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37183	Mod sed	"Accessory, Procedure"	SD238	"stent, GORE VIATORR TIPS Endoprosthesis"	item	3718.25	1	0
37183	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37183	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37183	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37183	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37183	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37183	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37183	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37183	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37183	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37183	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37183	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37184	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
37184	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37184	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
37184	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37184	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
37184	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37184	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
37184	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37184	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37184	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
37184	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
37184	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37184	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37184	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
37184	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
37184	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37184	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37184	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37184	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
37184	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37185	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37185	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37185	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
37185	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
37186	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
37186	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37186	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37186	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
37186	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
37187	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
37187	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37187	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
37187	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37187	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
37187	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37187	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
37187	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37187	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37187	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
37187	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
37187	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37187	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37187	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
37187	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
37187	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37187	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37187	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37187	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
37187	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37188	Mod sed	"Kit, Pack, Tray"	SA015	"kit, for percutaneous thrombolytic device (Trerotola)"	kit	539.7175	1	0
37188	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37188	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
37188	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37188	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
37188	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37188	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
37188	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37188	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37188	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
37188	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
37188	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37188	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37188	Mod sed	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
37188	Mod sed	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
37188	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37188	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37188	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37188	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
37188	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37191	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37191	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37191	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37191	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37191	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
37191	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37191	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37191	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37191	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
37191	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	4	0
37191	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37191	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37191	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37191	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
37191	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37191	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37191	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37191	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37191	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37191	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37191	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37191	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37191	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37191	Mod sed	"Accessory, Procedure"	SD267	IVC filter	item	1495.0625	1	0
37191	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37191	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37191	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37191	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
37191	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37191	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
37191	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37191	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37191	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37191	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37192	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37192	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37192	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37192	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37192	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
37192	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37192	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37192	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37192	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
37192	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	4	0
37192	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37192	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37192	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37192	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
37192	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37192	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37192	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37192	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37192	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37192	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37192	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37192	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37192	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37192	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37192	Mod sed	"Accessory, Procedure"	SD268	IVC retrieval set	kit	331.155	1	0
37192	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37192	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37192	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37192	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
37192	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37192	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
37192	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37192	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37192	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37192	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37193	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37193	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37193	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37193	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37193	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
37193	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37193	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37193	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37193	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
37193	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	4	0
37193	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37193	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37193	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37193	Mod sed	"Gown, Drape"	SB048	"sheath-cover, sterile, 96in x 6in (transducer)"	item	9.583	1	0
37193	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37193	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37193	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37193	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37193	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37193	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37193	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37193	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37193	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37193	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37193	Mod sed	"Accessory, Procedure"	SD268	IVC retrieval set	kit	331.155	1	0
37193	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37193	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37193	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37193	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
37193	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37193	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
37193	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37193	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37193	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37193	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37197	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37197	Mod sed	"Kit, Pack, Tray"	SA020	"kit, loop snare (Microvena)"	kit	301.125	1	0
37197	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37197	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37197	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37197	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37197	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37197	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37197	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37197	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37197	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37197	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37197	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37197	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37197	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37197	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37197	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37197	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37197	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37197	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37197	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37197	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37197	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37197	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37197	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37197	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37197	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37197	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
37197	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37197	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37197	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37197	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37215	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37216	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37217	CPT14 May 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37217	CPT14 May 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
37218	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37220	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37220	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37220	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37220	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37220	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37220	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37220	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37220	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37220	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37220	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37220	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37220	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37220	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37220	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37220	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37220	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37220	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37220	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37220	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37220	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37220	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37220	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37220	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	2	0
37220	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37220	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37220	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37220	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37220	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37220	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37220	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37220	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37220	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37220	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37220	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37220	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37220	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37220	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37220	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37220	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37220	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37221	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37221	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37221	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37221	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1434.645	1	0
37221	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37221	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37221	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37221	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37221	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37221	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37221	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37221	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37221	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37221	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37221	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37221	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37221	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37221	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37221	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37221	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37221	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37221	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37221	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37221	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37221	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37221	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37221	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37221	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37221	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37221	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37221	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37221	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37221	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37221	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37221	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37221	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37221	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37221	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37221	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37221	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37221	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37222	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37222	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37223	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1434.645	1	0
37223	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37223	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37224	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37224	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37224	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37224	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37224	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37224	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37224	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37224	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37224	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37224	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37224	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37224	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37224	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37224	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37224	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37224	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37224	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37224	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37224	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37224	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37224	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37224	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37224	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	3	0
37224	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37224	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37224	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37224	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37224	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37224	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37224	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37224	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37224	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37224	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37224	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37224	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37224	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37224	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37224	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37224	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37224	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37224	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37225	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37225	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37225	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37225	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37225	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37225	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37225	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37225	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37225	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37225	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37225	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37225	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37225	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37225	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37225	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37225	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37225	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37225	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37225	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37225	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37225	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37225	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37225	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	4	0
37225	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37225	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37225	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37225	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37225	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37225	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37225	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37225	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4308.0275	1	0
37225	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37225	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37225	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37225	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37225	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37225	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37225	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37225	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37225	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37225	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37225	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37225	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37225	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37225	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37226	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37226	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37226	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37226	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37226	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37226	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37226	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37226	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37226	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37226	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37226	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37226	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37226	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37226	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37226	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37226	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37226	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37226	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37226	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37226	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37226	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37226	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37226	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	3	0
37226	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37226	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37226	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37226	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37226	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37226	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37226	Mod sed	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3469.25	1	0
37226	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37226	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37226	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37226	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37226	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37226	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37226	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37226	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37226	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37226	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37226	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37226	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37226	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37226	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37227	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37227	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37227	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37227	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37227	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37227	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37227	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37227	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37227	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37227	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37227	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37227	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37227	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37227	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37227	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37227	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37227	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37227	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37227	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37227	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37227	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37227	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37227	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	4	0
37227	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37227	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37227	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37227	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37227	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37227	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37227	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37227	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4308.0275	1	0
37227	Mod sed	"Accessory, Procedure"	SD254	"covered stent (VIABAHN, Gore)"	item	3469.25	1	0
37227	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37227	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37227	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37227	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37227	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37227	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37227	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37227	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37227	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37227	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37227	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37227	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37227	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37227	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37228	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37228	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37228	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37228	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37228	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37228	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37228	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37228	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37228	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37228	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37228	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37228	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37228	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37228	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37228	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37228	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37228	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37228	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37228	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37228	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37228	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37228	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37228	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	2	0
37228	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37228	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37228	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37228	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	2	0
37228	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37228	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37228	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37228	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1	0
37228	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37228	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37228	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37228	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37228	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37228	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37228	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37228	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37228	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37228	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37228	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37228	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37228	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37228	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37229	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37229	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37229	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37229	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37229	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37229	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37229	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37229	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37229	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37229	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37229	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37229	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37229	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37229	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37229	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37229	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37229	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37229	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37229	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37229	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37229	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37229	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37229	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	2	0
37229	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37229	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37229	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37229	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37229	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37229	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37229	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37229	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1	0
37229	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37229	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4308.0275	1	0
37229	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37229	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37229	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37229	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37229	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37229	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37229	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37229	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37229	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37229	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37229	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37229	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37229	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37229	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37230	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37230	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37230	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37230	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37230	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37230	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37230	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37230	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37230	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37230	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37230	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37230	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37230	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37230	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37230	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37230	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37230	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37230	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37230	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37230	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37230	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37230	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37230	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	2	0
37230	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37230	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37230	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37230	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37230	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37230	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37230	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37230	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1	0
37230	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37230	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37230	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37230	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2698.1725	1	0
37230	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37230	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37230	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37230	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37230	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37230	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37230	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37230	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37230	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37230	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37230	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37230	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37231	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37231	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37231	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37231	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37231	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
37231	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37231	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37231	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37231	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37231	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37231	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37231	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37231	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37231	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37231	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37231	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37231	Mod sed	"Hypodermic, IV"	SC096	"Quick Cross Catheter (Sprectranetics, documentation available)"	item	182.7075	1	0
37231	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37231	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
37231	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37231	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37231	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37231	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	2	0
37231	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37231	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
37231	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37231	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37231	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37231	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37231	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37231	Mod sed	"Accessory, Procedure"	SD251	Sheath Shuttle (Cook)	item		1	0
37231	Mod sed	"Accessory, Procedure"	SD252	"guidewire, Amplatz wire 260 cm"	item	43.9775	1	0
37231	Mod sed	"Accessory, Procedure"	SD253	atherectomy device  (Spectronetics laser or Fox Hollow)	kit	4308.0275	1	0
37231	Mod sed	"Accessory, Procedure"	SD255	"Reentry device (Frontier, Outback, Pioneer)"	item		1	0
37231	Mod sed	"Accessory, Procedure"	SD256	"Embolic  Protection Device Spider FX (EV3, documentation available)"	item	1309.4725	1	0
37231	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2698.1725	1	0
37231	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37231	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37231	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37231	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37231	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37231	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37231	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37231	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37231	Mod sed	"Pharmacy, Rx"	SH095	protamine sulfate 10 mg/ml (5ml uou vial)	item	234.235	1	0
37231	Mod sed	"Pharmacy, Rx"	SH096	nitroglycerin injection USP 5 mg/mL (10ml uou vial)	item	176.785	1	0
37231	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
37231	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37232	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37232	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37232	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37233	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37233	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37233	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37234	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37234	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37234	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2698.1725	1	0
37234	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37235	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37235	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	3	0
37235	Mod sed	"Accessory, Procedure"	SD266	"stent, self expanding 2-5 mm XPERT (Abbott)"	item	2698.1725	1	0
37235	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	10	0
37236	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37236	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37236	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37236	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37236	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37236	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37236	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37236	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37236	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37236	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37236	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37236	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37236	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37236	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
37236	Mod sed	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
37236	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37236	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37236	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
37236	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37236	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37236	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37236	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37236	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37236	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37236	Mod sed	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	1328.1075	1	0
37236	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37236	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37236	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37236	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37236	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37236	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37236	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37236	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37236	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37236	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	6	0
37237	Mod sed	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37237	Mod sed	"Accessory, Procedure"	SD299	"stent, balloon, implantable"	item	1328.1075	1	0
37238	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37238	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37238	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37238	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1434.645	1.5	0
37238	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37238	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37238	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37238	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37238	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37238	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37238	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37238	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37238	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37238	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37238	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
37238	Mod sed	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
37238	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37238	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37238	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
37238	Mod sed	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
37238	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
37238	Mod sed	"Accessory, Procedure"	SD249	"Sterile Radio-opaque ruler (le Maitre, documentation available)"	item	78.38	1	0
37238	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37238	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37238	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37238	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37238	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37238	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37238	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37238	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37238	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37238	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	6	0
37239	Mod sed	"Kit, Pack, Tray"	SA103	"stent, vascular, deployment system, Cordis SMART"	kit	1434.645	1	0
37241	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37241	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37241	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37241	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37241	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37241	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37241	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37241	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37241	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37241	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37241	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37241	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37241	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37241	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37241	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37241	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37241	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
37241	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37241	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37241	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37241	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37241	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37241	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37241	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37241	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37241	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37241	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37241	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37241	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37241	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1001.075	1	0
37241	Mod sed	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	192.6325	7	0
37241	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37241	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37241	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
37241	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37241	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37241	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37241	Mod sed	"Wound Care, Dressings"	SG095	Hemostatic patch	item	36.895	1	0
37241	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37241	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37241	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37241	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37241	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37242	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37242	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37242	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37242	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37242	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37242	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37242	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37242	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37242	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37242	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37242	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37242	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37242	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37242	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37242	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37242	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37242	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
37242	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37242	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37242	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37242	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37242	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37242	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37242	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37242	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37242	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37242	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37242	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37242	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37242	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37242	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1001.075	5	0
37242	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37242	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37242	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
37242	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37242	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37242	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37242	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37242	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37242	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37242	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37242	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37243	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37243	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37243	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37243	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37243	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37243	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37243	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37243	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37243	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37243	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37243	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37243	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37243	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37243	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37243	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37243	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37243	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
37243	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37243	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37243	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37243	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37243	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37243	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37243	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37243	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37243	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37243	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37243	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37243	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37243	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37243	Mod sed	"Cutters, Closures, Cautery"	SF058	LC Beads (2mL vial)	item	2160.4825	3	0
37243	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37243	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37243	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
37243	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37243	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37243	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37243	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37243	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37243	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37243	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37243	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37244	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37244	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37244	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37244	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
37244	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
37244	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37244	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37244	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
37244	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37244	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
37244	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
37244	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37244	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
37244	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37244	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
37244	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	4	0
37244	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
37244	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37244	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37244	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37244	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37244	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37244	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
37244	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
37244	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37244	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37244	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37244	Mod sed	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37244	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37244	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37244	Mod sed	"Cutters, Closures, Cautery"	SF056	Detachable coil	item	1001.075	4	0
37244	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37244	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
37244	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
37244	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
37244	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37244	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
37244	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37244	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37244	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37244	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37244	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37246	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37246	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37246	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37246	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37246	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
37246	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37246	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37246	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
37246	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
37246	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37246	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37246	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
37246	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37246	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
37246	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37246	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37246	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37246	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
37246	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
37246	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37246	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37246	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37246	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37246	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
37246	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37246	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37246	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37246	RUC	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
37246	RUC	"Accessory, Procedure"	SD207	suture device for vessel closure (Perclose A-T)	item	216	1	0
37246	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37246	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37246	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37246	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37246	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
37246	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37246	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
37246	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37246	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37246	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37246	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
37246	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37246	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37247	RUC	"Accessory, Procedure"	SD151	"catheter, balloon, low profile PTA"	item	406.6525	1	0
37248	RUC	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
37248	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
37248	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
37248	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
37248	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
37248	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37248	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37248	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
37248	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
37248	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37248	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
37248	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
37248	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37248	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
37248	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
37248	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
37248	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37248	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
37248	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
37248	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37248	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
37248	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
37248	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
37248	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
37248	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
37248	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
37248	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
37248	RUC	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
37248	RUC	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	0
37248	RUC	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
37248	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
37248	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
37248	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
37248	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37248	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
37248	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
37248	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
37248	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
37248	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
37248	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
37248	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
37249	RUC	"Accessory, Procedure"	SD152	"catheter, balloon, PTA"	item	230.09	1	0
37252	Mod sed	"Accessory, Procedure"	SD173	"guidewire, low profile (SpartaCore)"	item	94.6875	1	0
37252	Mod sed	"Accessory, Procedure"	SD304	IVUS catheter	item	950.6875	1	0
37252	Mod sed	"Accessory, Procedure"	SD305	IVUS Catheter Sterile Cover	pack (10)	119.39	0.1	0
37500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37500	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37500	Sep02	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		3
37500	Sep02	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542		3
37500	Sep02	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985		3
37565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37606	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37607	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37607	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
37607	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
37609	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
37609	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
37609	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
37609	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
37609	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
37609	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
37609	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
37609	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
37609	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
37609	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
37609	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
37609	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37609	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
37609	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
37609	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
37609	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
37609	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
37609	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
37609	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
37609	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
37609	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
37609	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
37609	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
37609	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
37609	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
37609	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
37609	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
37609	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
37615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37615	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37616	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37617	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37617	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37618	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
37618	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37619	CPT12 May 11	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
37619	CPT12 May 11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37718	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37718	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
37722	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37722	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
37735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37761	CPT10 30	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
37761	CPT10 30	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37765	CPT11 51	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
37765	CPT11 51	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
37765	CPT11 51	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
37765	CPT11 51	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
37765	CPT11 51	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
37765	CPT11 51	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37765	CPT11 51	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37765	CPT11 51	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37765	CPT11 51	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
37765	CPT11 51	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37765	CPT11 51	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
37765	CPT11 51	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
37765	CPT11 51	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
37765	CPT11 51	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
37765	CPT11 51	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37765	CPT11 51	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
37765	CPT11 51	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
37765	CPT11 51	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
37765	CPT11 51	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
37765	CPT11 51	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	17.7825	1	0
37765	CPT11 51	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	0
37765	CPT11 51	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	0
37765	CPT11 51	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
37765	CPT11 51	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
37765	CPT11 51	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
37765	CPT11 51	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37765	CPT11 51	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
37765	CPT11 51	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	47.5547	1	0
37765	CPT11 51	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
37765	CPT11 51	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
37765	CPT11 51	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	60	0
37765	CPT11 51	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
37765	CPT11 51	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
37765	CPT11 51	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
37765	CPT11 51	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
37765	CPT11 51	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
37765	CPT11 51	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
37766	CPT11 51	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
37766	CPT11 51	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
37766	CPT11 51	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
37766	CPT11 51	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
37766	CPT11 51	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
37766	CPT11 51	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
37766	CPT11 51	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
37766	CPT11 51	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
37766	CPT11 51	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
37766	CPT11 51	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37766	CPT11 51	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
37766	CPT11 51	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
37766	CPT11 51	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
37766	CPT11 51	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
37766	CPT11 51	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
37766	CPT11 51	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
37766	CPT11 51	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
37766	CPT11 51	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
37766	CPT11 51	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
37766	CPT11 51	"Hypodermic, IV"	SC074	iv pressure infusor bag	item	17.7825	1	0
37766	CPT11 51	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	0
37766	CPT11 51	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	0
37766	CPT11 51	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
37766	CPT11 51	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
37766	CPT11 51	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
37766	CPT11 51	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
37766	CPT11 51	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
37766	CPT11 51	"Wound Care, Dressings"	SG087	"stockings, knee length, 20-30mm compression"	pair	47.5547	1	0
37766	CPT11 51	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
37766	CPT11 51	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
37766	CPT11 51	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	100	0
37766	CPT11 51	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
37766	CPT11 51	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	2	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
37766	CPT11 51	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
37766	CPT11 51	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
37766	CPT11 51	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
37766	CPT11 51	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
37780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
37785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
37785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
37785	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
37785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
37785	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
37785	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
37785	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	3	0
37785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
37785	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
37785	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
37785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
37785	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
37785	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
37785	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
37785	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
37785	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
37785	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
37785	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
37785	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	0
37785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
37785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
37785	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
37785	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
37785	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	60	0
37785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
37785	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
37788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
37788	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37788	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
37788	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
37790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
37790	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
37790	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
37790	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
38100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38101	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38220	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	36.8675	1	0
38220	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
38220	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
38220	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
38220	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
38220	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	0
38220	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	0
38220	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	0
38220	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0
38220	RUC	Lab	SL103	petri dish	item	0.1965	1	0
38220	RUC	Lab	SL130	spatula (pathology)	item	0.7845	1	0
38221	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
38221	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	36.8675	1	0
38221	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
38221	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
38221	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
38221	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
38221	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	0
38221	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	0
38221	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
38221	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	0
38221	RUC	Lab	SL103	petri dish	item	0.1965	1	0
38221	RUC	Lab	SL130	spatula (pathology)	item	0.7845	1	0
38222	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
38222	RUC	"Kit, Pack, Tray"	SA062	"tray, bone marrow biopsy-aspiration"	tray	36.8675	1	0
38222	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
38222	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
38222	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
38222	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
38222	RUC	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	0
38222	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	0
38222	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	0
38222	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
38222	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100	0
38222	RUC	Lab	SL103	petri dish	item	0.1965	1	0
38222	RUC	Lab	SL130	spatula (pathology)	item	0.7845	1	0
38300	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
38300	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
38300	Jan03	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
38300	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	1
38300	Jan03	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
38300	Jan03	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
38300	Jan03	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
38300	Jan03	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	2	0
38300	Jan03	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	5	0
38300	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	1
38300	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
38300	Jan03	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
38300	Jan03	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
38300	Jan03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
38300	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
38300	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
38300	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
38300	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
38300	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
38300	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
38300	Jan03	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
38300	Jan03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
38300	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
38300	Jan03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
38300	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
38300	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
38300	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
38300	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
38305	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
38305	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38308	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38308	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38380	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
38380	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
38382	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
38382	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
38500	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
38500	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
38500	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
38500	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
38500	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
38500	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
38500	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
38500	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
38500	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
38500	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
38500	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
38500	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
38500	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
38500	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
38500	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	1
38505	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
38505	Jan03	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	29.615	1	0
38505	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
38505	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
38505	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
38505	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
38505	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
38505	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
38510	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
38510	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
38510	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
38510	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
38510	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
38510	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
38510	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
38510	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
38510	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
38510	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
38510	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
38510	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
38510	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
38510	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
38510	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
38510	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
38510	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
38510	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	1
38510	Jan03	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
38510	Jan03	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
38520	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38520	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
3853X	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
3853X	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
3853X	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
3853X	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
38542	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38542	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
38550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
38555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38562	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
38562	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38564	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38564	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
38570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
38571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
38571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
38572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
38572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
38573	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
38573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
38573	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
38573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
38700	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38700	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38720	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
38720	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38724	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
38724	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38745	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38745	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38765	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38765	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38765	Sep02	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767		1
38765	Sep02	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626		1
38765	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
38765	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
38765	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
38765	Sep02	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		5
38765	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
38765	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		60
38765	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
38770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
38770	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
38780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
38792	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
38792	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
38792	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
38792	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
38792	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
38792	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
38792	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
38792	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	0
38792	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
38792	RUC	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0
38792	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
38792	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
39000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
39000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
39010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
39010	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
39200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
39200	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
39220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
39220	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
39501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
39501	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
39503	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
39503	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
39540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
39540	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
39541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
39541	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
39545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
39545	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
39560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
39560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
39561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
39561	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
40490	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
40490	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40490	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40490	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40490	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40490	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
40490	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40490	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40490	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
40490	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40490	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
40490	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40490	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
40490	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
40490	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40490	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
40490	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
40490	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
40500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
40500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40500	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40500	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40500	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40500	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40500	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40500	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40500	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40500	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40500	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40500	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40510	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
40510	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40510	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40510	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40510	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40510	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40510	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40510	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40510	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40510	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40510	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
40520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40520	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40520	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40520	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40520	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40520	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40520	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40520	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40520	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40525	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
40525	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40525	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
40525	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
40527	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
40527	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40527	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
40527	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
40530	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40530	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40530	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40530	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40530	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40530	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40530	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40530	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40530	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40530	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40650	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40650	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40650	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40650	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40650	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40650	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40650	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40650	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40650	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40650	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40650	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40652	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40652	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
40652	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40652	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40652	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40652	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40652	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40652	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40652	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40652	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40652	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40652	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40652	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40652	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40652	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40654	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40654	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
40654	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40654	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
40654	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
40654	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
40654	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
40654	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
40654	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
40654	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
40654	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
40654	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
40654	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40654	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
40654	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
40700	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
40700	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40700	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
40700	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
40701	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
40701	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40701	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
40701	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
40702	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
40702	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40702	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
40702	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
40720	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
40720	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40720	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
40720	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
40761	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
40761	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
40761	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
40761	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
40800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40800	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40800	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40800	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40800	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
40800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40800	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40801	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40801	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40801	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40801	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40801	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40801	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40801	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40801	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40801	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40801	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40801	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40801	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40801	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40801	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40801	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
40801	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40801	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40801	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40801	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40801	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40804	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40804	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	2
40804	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40804	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40804	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40804	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40804	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40804	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40804	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40804	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40804	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40804	RUC	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
40804	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40804	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	0
40804	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40804	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40804	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40804	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40804	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40804	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40804	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40804	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40804	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40804	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40804	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40804	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40804	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40805	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40805	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40805	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40805	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40805	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
40805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40805	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40805	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
40806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40806	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40806	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40806	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40806	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40808	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40808	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
40808	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40808	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40808	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40808	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40808	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40808	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40808	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40808	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40808	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40808	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40808	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40808	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40808	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40808	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40808	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40808	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40808	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40808	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40808	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40808	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40808	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40808	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40808	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40808	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40808	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40808	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
40810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40810	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40810	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40810	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40810	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40810	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40810	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40810	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40810	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40810	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40810	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40810	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40810	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40810	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40810	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40812	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40812	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40812	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40812	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40812	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40812	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40812	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40812	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40812	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40812	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40812	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40812	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40812	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40812	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40812	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40812	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40812	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40812	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40812	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40812	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40812	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40812	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40812	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40812	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40812	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40812	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40812	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40812	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
40814	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40814	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40814	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40814	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40814	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40814	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40814	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40814	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40814	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40814	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40814	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40814	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40814	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40814	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
40814	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
40814	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
40814	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40814	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40814	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40814	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40814	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40814	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40814	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
40814	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40814	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40814	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40814	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40814	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40816	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40816	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40816	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40816	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40816	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	0
40816	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40816	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
40816	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
40816	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
40816	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40816	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40816	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40816	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40816	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40816	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
40816	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40816	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40816	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40816	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40818	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40818	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40818	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40818	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40818	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40818	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40818	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40818	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40818	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40818	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40818	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40818	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	0
40818	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40818	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
40818	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
40818	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
40818	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40818	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40818	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40818	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40818	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40818	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40818	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
40818	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40818	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40818	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40818	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40818	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40819	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40819	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40819	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40819	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40819	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40819	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40819	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40819	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40819	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40819	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	0
40819	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40819	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
40819	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
40819	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
40819	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40819	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40819	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40819	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40819	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40819	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40819	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
40819	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40819	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40819	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40819	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40820	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40820	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40820	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	3	2
40820	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40820	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
40820	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
40820	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40820	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40820	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	3	2
40820	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40820	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	3	2
40820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
40820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
40820	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
40820	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40820	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40820	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40820	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
40820	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40820	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	14	12
40820	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
40820	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40820	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	3	2
40820	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
40820	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
40830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
40830	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40830	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
40830	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40830	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40831	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40831	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40831	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40831	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40831	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
40831	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40831	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40831	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40831	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40831	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40831	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40831	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40831	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40831	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
40831	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
40831	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
40831	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40831	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40831	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
40831	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40831	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
40831	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40831	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
40831	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
40831	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
40831	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
40831	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40831	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
40831	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
40840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
40840	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40840	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40840	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40840	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40840	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40840	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40840	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40840	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40840	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40840	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40840	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40840	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40840	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
40840	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40840	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40840	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40840	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	4.3715	2	0
40840	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
40840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40840	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
40840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
40840	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
40840	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40840	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40840	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
40840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
40842	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40842	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
40842	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40842	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40842	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40842	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40842	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40842	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40842	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40842	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40842	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40842	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40842	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40842	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40842	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40842	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40842	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40842	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40842	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
40842	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40842	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40842	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40842	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
40842	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	4.3715	2	0
40842	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
40842	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40842	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
40842	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
40842	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
40842	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40842	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40842	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
40842	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
40843	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40843	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
40843	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40843	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40843	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40843	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40843	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40843	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40843	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40843	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40843	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40843	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40843	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40843	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40843	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40843	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40843	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40843	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40843	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
40843	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40843	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40843	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40843	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
40843	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	4.3715	4	0
40843	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
40843	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40843	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
40843	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
40843	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
40843	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40843	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40843	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	2	0
40843	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
40844	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40844	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
40844	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40844	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40844	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40844	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40844	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40844	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40844	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40844	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40844	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40844	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40844	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40844	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40844	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40844	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40844	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40844	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40844	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
40844	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40844	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40844	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40844	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
40844	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	4.3715	4	0
40844	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
40844	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
40844	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
40844	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
40844	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
40844	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40844	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40844	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
40844	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
40845	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
40845	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	6	5
40845	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
40845	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
40845	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
40845	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
40845	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
40845	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
40845	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
40845	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
40845	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
40845	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
40845	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
40845	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
40845	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
40845	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
40845	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
40845	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
40845	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
40845	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
40845	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
40845	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
40845	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
40845	CMS	"Cutters, Closures, Cautery"	SF051	"suture, polyester, 0 to 3-0 (Mersilene)"	item	4.3715	4	0
40845	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
40845	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
40845	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
40845	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	12	0
40845	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
40845	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
40845	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
40845	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
40845	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
41000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
41000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
41000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41000	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
41000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
41000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41000	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41000	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41000	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
41000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41005	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41005	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41005	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41005	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41005	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41005	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41005	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41005	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41005	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41005	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41005	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41005	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
41005	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41005	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41005	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41005	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41006	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41006	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41006	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41006	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41006	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41006	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41006	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41006	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41006	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41006	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41006	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41006	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41006	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41006	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41006	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41006	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41006	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41006	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41006	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41006	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41006	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41006	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41006	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41006	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41006	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41006	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
41006	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41006	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41006	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41006	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41006	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41006	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41007	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41007	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41007	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41007	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41007	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41007	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41007	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41007	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41007	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41007	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41007	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41007	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41007	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41007	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41007	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41007	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41007	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41007	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41007	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41007	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41007	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41007	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41007	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
41007	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41007	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41007	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41007	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41007	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41007	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41008	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41008	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41008	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41008	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41008	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41008	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41008	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41008	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41008	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41008	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41008	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41008	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41008	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41008	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41008	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41008	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41008	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41008	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41008	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41008	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41008	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41008	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41008	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41008	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41008	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41008	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
41008	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41008	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41008	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41008	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41008	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41008	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41009	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41009	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
41009	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41009	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41009	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41009	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41009	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41009	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41009	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41009	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41009	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41009	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41009	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41009	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41009	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41009	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41009	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41009	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41009	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41009	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41009	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41009	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41009	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41009	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41009	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41009	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
41009	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41009	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41009	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41009	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41009	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41009	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41010	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41010	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41010	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
41010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41010	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41010	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41010	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41010	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41010	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41010	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41010	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41010	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
41010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
41010	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41010	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41010	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41010	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41010	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41010	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41010	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41010	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41010	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
41010	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41010	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41015	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
41015	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	2	2
41015	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41015	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41015	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41015	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
41015	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41015	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41015	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41015	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41015	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41015	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41015	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41015	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41015	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41015	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	6	4
41015	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41015	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	2
41015	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41015	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	2	0
41015	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41015	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41015	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41015	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41015	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41015	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	5
41016	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41016	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
41016	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	2	2
41016	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41016	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41016	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41016	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41016	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
41016	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41016	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41016	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41016	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41016	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41016	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41016	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41016	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41016	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41016	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	6	4
41016	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41016	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	2
41016	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41016	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	2	0
41016	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41016	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41016	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41016	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41016	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41016	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	5
41017	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41017	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
41017	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	2	2
41017	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41017	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41017	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41017	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41017	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
41017	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41017	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41017	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41017	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41017	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41017	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41017	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41017	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41017	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41017	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	6	4
41017	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41017	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	2
41017	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41017	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	2	0
41017	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41017	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41017	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41017	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41017	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41017	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	5
41018	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41018	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
41018	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	2	2
41018	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41018	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41018	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41018	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41018	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
41018	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41018	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41018	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41018	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41018	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41018	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41018	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41018	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41018	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41018	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	6	4
41018	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41018	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	2
41018	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41018	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	2	0
41018	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41018	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41018	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41018	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41018	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41018	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	5
41100	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
41100	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
41100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41100	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
41100	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	1
41100	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	1
41100	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
41100	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
41100	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
41100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41100	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41100	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41100	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41100	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41100	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41100	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41100	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
41100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	1
41100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41100	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41100	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41100	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	1
41100	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41100	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
41105	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
41105	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
41105	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
41105	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	1
41105	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	1
41105	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
41105	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
41105	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
41105	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41105	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41105	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41105	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41105	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41105	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41105	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41105	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
41105	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	1
41105	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41105	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41105	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41105	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	1
41105	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41105	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
41108	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
41108	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41108	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
41108	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41108	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
41108	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	1
41108	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	1
41108	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
41108	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41108	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
41108	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
41108	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41108	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41108	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41108	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41108	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41108	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41108	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41108	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41108	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
41108	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	1
41108	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41108	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41108	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41108	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	1
41108	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41108	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
41110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41110	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41110	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41110	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41110	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41110	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41110	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
41110	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
41110	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41110	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41110	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41110	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41112	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41112	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41112	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41112	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41112	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41112	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41112	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41112	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41112	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41112	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41112	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41112	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	0
41112	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41112	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41112	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41112	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41112	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41112	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41112	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41112	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41112	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41112	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41112	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
41112	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41112	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41112	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41112	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41112	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41113	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41113	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41113	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41113	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41113	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
41113	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41113	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41113	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41113	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41113	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41113	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41113	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	2	0
41113	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41113	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41113	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41113	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41113	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41113	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41113	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41113	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41113	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41113	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41113	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	0
41113	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41113	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41113	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41113	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41113	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41114	Mar03 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
41114	Mar03 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
41114	Mar03 9	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
41114	Mar03 9	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3.5
41114	Mar03 9	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3.5
41115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41115	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41115	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
41115	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41115	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41115	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41115	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41115	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41115	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41115	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41115	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41115	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
41115	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
41115	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41115	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41115	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41115	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41115	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41115	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41115	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41115	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41115	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41115	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
41115	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41115	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41115	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41116	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41116	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
41116	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41116	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41116	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41116	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	1
41116	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41116	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41116	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41116	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41116	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41116	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41116	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41116	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41116	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41116	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41116	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41116	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
41116	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
41116	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41116	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41116	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41116	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41116	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41116	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41116	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41116	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41116	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41116	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41116	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
41116	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41116	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41116	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41120	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
41120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
41120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
41120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
41120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
41120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
41120	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
41120	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
41120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
41120	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41120	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41120	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41130	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41130	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
41130	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
41130	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
41130	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
41130	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
41130	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
41130	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
41130	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
41130	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
41130	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41130	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41130	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41135	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41135	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
41135	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41135	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
41135	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
41135	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
41135	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
41135	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
41135	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
41135	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
41135	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
41135	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41135	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41135	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41135	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41140	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
41140	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41140	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
41140	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41140	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
41140	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
41140	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
41140	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
41140	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
41140	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
41140	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
41140	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
41140	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
41140	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41140	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41140	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41140	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41145	Mar04 I	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
41145	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		5
41145	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
41145	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41145	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		5.5
41145	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6.5
41145	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6.5
41145	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		6.5
41145	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6.5
41145	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		6.5
41145	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		6.5
41145	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6.5
41145	Mar04 I	"Accessory, Procedure"	SD209	tracheostomy tube	item	20.933		1
41145	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		20
41145	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		10
41145	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41145	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		5
41150	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41150	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
41150	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41150	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
41150	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
41150	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
41150	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
41150	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
41150	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
41150	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
41150	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
41150	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41150	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41150	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41150	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41153	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41153	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
41153	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41153	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
41153	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
41153	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
41153	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
41153	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
41153	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
41153	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
41153	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
41153	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41153	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41153	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41153	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41155	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
41155	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
41155	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
41155	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
41155	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
41155	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
41155	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
41155	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
41155	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
41155	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
41155	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
41155	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
41155	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
41155	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
41155	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
41250	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
41250	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41250	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41250	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41250	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
41250	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41250	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
41250	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
41250	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41250	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41250	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41250	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41250	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41250	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41250	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41250	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41250	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
41250	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41251	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
41251	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41251	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41251	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41251	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
41251	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41251	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
41251	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
41251	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41251	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41251	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41251	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41251	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41251	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41251	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41251	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41251	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
41251	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41252	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
41252	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41252	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41252	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41252	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
41252	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41252	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
41252	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
41252	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41252	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41252	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41252	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41252	Feb05 N	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
41252	Feb05 N	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41252	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
41252	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41252	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
41252	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41500	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
41500	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
41500	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
41500	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
41500	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
41500	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
41500	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
41500	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		2
41500	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		2
41500	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
41500	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
41500	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
41500	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
41510	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
41510	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
41510	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
41510	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
41510	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
41510	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
41510	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
41510	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		2
41510	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		2
41510	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
41510	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
41510	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
41510	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
41512	CPT09 10	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
41512	CPT09 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
41512	CPT09 10	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
41512	CPT09 10	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
41512	CPT09 10	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
41512	CPT09 10	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
41512	CPT09 10	"Accessory, Procedure"	SD070	endosheath	item	16.7575		3
41512	CPT09 10	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395		3
41512	CPT09 10	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
41512	CPT09 10	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
41512	CPT09 10	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
41512	CPT09 10	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
41512	CPT09 10	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
41512	CPT09 10	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		3
41520	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41520	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41520	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
41520	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41520	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41520	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41520	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41520	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41520	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41520	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41520	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41520	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41520	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41520	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41520	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	6	0
41520	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41520	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
41520	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
41530	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	3	2
41530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41530	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41530	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
41530	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	2	0
41530	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41530	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	3	2
41530	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	0
41530	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	3	2
41530	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	3	2
41530	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41530	CMS	"Accessory, Procedure"	SD328	single-channel radio-frequency handpiece	item	353.64	1	0
41530	CMS	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	3	2
41530	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	1	0
41530	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	2
41530	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
41530	CMS	"Pharmacy, Rx"	SH090	sodium bicarbonate 8.4% inj w-needle (1ml uou)	item	2.2	1	0
41530	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
41530	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	3	2
41530	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	7	2
41530	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
41530	CMS	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	1	0
41800	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41800	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	1
41800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41800	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	2
41800	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41800	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41800	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	2	1
41800	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41800	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	1
41800	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
41800	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
41800	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
41800	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41800	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41800	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41800	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
41800	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41800	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41800	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41800	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	3	0
41800	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
41800	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	6	4
41800	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41800	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41800	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	1
41800	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41800	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
41800	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41805	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41805	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41805	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41805	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	3	2
41805	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41805	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4
41805	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	6	4
41805	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41805	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	3	2
41805	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41805	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41805	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	3	2
41805	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41805	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41805	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41805	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41805	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41805	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41805	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41805	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41805	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41805	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	6	4
41805	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41805	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41805	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	3	2
41805	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41805	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41806	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41806	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41806	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41806	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	3	2
41806	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41806	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	6	4
41806	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	6	4
41806	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41806	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	3	2
41806	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41806	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41806	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	3	2
41806	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41806	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41806	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41806	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41806	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41806	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41806	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41806	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41806	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41806	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41806	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	6	4
41806	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41806	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41806	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	3	2
41806	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	3	2
41806	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41806	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41822	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41822	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41822	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
41822	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41822	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41822	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41822	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41822	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41822	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41822	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41822	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41822	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41822	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41822	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41822	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41822	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41822	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41822	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41822	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41822	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41822	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41822	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41822	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41822	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41822	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41823	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41823	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
41823	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41823	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41823	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41823	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41823	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41823	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41823	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41823	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41823	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41823	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41823	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41823	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41823	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41823	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41823	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41823	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41823	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41823	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41823	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41823	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41823	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41823	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41823	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41823	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41823	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41825	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41825	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41825	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41825	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	0
41825	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41825	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41825	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41825	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41825	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41825	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41825	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41825	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41825	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41825	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41825	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41825	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41825	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41825	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41825	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41825	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41825	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41825	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41825	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41825	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41825	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41825	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41825	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41825	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41826	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41826	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41826	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	2
41826	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	1
41826	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41826	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41826	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41826	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41826	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41826	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41826	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41826	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41826	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41826	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41826	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41826	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41826	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41826	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41826	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41826	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41826	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41826	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41826	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41826	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41826	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41826	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41826	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41826	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41827	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41827	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
41827	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41827	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41827	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41827	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41827	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41827	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41827	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41827	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41827	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41827	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41827	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41827	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41827	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41827	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41827	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41827	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41827	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41827	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41827	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41827	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41827	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41827	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41827	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41827	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41827	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41827	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41827	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41827	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41827	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41828	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41828	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
41828	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41828	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
41828	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41828	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41828	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41828	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41828	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41828	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41828	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41828	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41828	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41828	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41828	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41828	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41828	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41828	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41828	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41828	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41828	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41828	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41828	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41830	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
41830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	2
41830	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	1
41830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41830	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
41830	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41830	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41830	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41830	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41830	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41830	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	3	2
41830	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	3	2
41830	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	3	2
41830	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
41830	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
41830	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
41830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
41830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
41830	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41830	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41830	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41830	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
41830	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
41830	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41830	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
41872	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41872	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
41872	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41872	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41872	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41872	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41872	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41872	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41872	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41872	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41872	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41872	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41872	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41872	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41872	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41872	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41872	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41872	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41872	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41872	CMS	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	4.7086	2	0
41872	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41872	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41872	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41872	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41872	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41872	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41872	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
41874	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
41874	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
41874	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
41874	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
41874	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
41874	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
41874	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
41874	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
41874	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
41874	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
41874	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
41874	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
41874	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
41874	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
41874	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
41874	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
41874	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
41874	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
41874	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
41874	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
41874	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
41874	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
41874	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
41874	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
41874	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
41874	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
41874	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42000	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42000	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42000	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42000	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42000	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42000	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42000	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42000	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42000	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42000	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42000	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42000	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42000	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42100	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42100	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
42100	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42100	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42100	Feb05 N	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42100	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42100	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42100	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42100	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42100	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42100	Feb05 N	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42100	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42104	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42104	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42104	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42104	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42104	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42104	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42104	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42104	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42104	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42104	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42104	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42104	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42104	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42104	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42104	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42106	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42106	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42106	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42106	Feb05 N	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42106	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42106	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42106	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42106	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42106	Feb05 N	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
42106	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42106	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42106	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42106	Feb05 N	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42106	Feb05 N	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42106	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42106	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42106	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42106	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42107	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42107	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42107	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42107	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42107	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42107	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42107	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42107	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42107	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42107	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42107	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42107	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42107	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	1
42107	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42107	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42107	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
42107	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
42107	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42107	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42107	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42107	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42107	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42107	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0
42107	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42107	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42107	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42107	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42120	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42120	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42120	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42120	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
42120	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
42120	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
42120	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42120	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
42120	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		3
42120	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
42120	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42120	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42120	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42140	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42140	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
42140	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42140	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42140	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42140	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42140	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42140	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42140	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42140	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42140	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42140	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42140	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42140	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42140	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42140	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42140	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42140	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42140	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42140	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42140	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42140	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42140	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	0
42140	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42140	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42140	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42140	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42145	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42145	Apr08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42145	Apr08 ss	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
42145	Apr08 ss	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42145	Apr08 ss	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
42145	Apr08 ss	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
42145	Apr08 ss	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
42145	Apr08 ss	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42145	Apr08 ss	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
42145	Apr08 ss	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42145	Apr08 ss	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42160	Feb05 N	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42160	Feb05 N	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42160	Feb05 N	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42160	Feb05 N	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42160	Feb05 N	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42160	Feb05 N	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42160	Feb05 N	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42160	Feb05 N	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42160	Feb05 N	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42160	Feb05 N	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42160	Feb05 N	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42160	Feb05 N	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42160	Feb05 N	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42160	Feb05 N	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42160	Feb05 N	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42180	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
42180	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42180	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42180	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42180	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42180	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42180	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42180	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42180	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42180	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42180	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42180	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42180	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
42180	Jan03	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
42180	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42180	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42180	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42180	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42182	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
42182	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42182	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42182	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42182	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42182	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42182	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42182	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42182	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42182	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42182	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42182	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42182	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
42182	Jan03	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
42182	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42182	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42182	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42182	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42200	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42200	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42200	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
42200	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42200	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42200	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42200	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42200	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
42200	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42200	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42205	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42205	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42205	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
42205	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42205	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42205	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42205	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42205	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
42205	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42205	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42210	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42210	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42210	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
42210	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42210	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42210	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42210	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42210	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
42210	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
42210	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
42215	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42215	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42215	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
42215	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42215	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42215	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42215	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
42215	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
42215	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42215	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42220	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42220	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42220	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
42220	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42220	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42220	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42220	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42220	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
42220	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42220	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42225	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3.5
42225	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42225	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42225	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
42225	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42225	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
42225	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
42225	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
42225	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
42225	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
42225	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42225	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42225	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42225	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42225	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42226	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3.5
42226	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42226	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42226	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
42226	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42226	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
42226	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
42226	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
42226	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
42226	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42226	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42226	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42226	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42226	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42226	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42227	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42227	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42227	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42227	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
42227	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42227	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
42227	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
42227	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
42227	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
42227	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42227	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42227	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42227	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42227	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42227	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42235	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42235	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42235	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42235	Mar04 I	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		4
42235	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42235	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
42235	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
42235	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2
42235	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
42235	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42235	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42235	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42235	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42235	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42235	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42260	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
42260	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42260	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42260	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42260	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42260	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42260	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42260	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42260	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42260	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42260	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
42260	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42260	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42260	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42260	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42260	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42260	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42260	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42260	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42260	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
42260	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
42260	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42260	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42260	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	8	0
42260	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
42260	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42260	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42260	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
42280	Sep04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42280	Sep04 I	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
42280	Sep04 I	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
42280	Sep04 I	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42280	Sep04 I	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42280	Sep04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42280	Sep04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42280	Sep04 I	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
42280	Sep04 I	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
42280	Sep04 I	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
42280	Sep04 I	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
42280	Sep04 I	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42280	Sep04 I	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42280	Sep04 I	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
42280	Sep04 I	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	4	0
42280	Sep04 I	Lab	SL046	dental impression tray	item	0.4545	1	0
42280	Sep04 I	Lab	SL047	dental stone powder	lb	2.1435	0.75	0
42280	Sep04 I	Lab	SL081	"impression material, alginate (dental)"	lb	7.865	0.18	0
42280	Sep04 I	Lab	SL150	"wax, bite registration wafer"	item	0.3347	1	0
42280	Sep04 I	Lab	SL202	"tissue conditioner, coesoft (0.5 oz, each, liquid and powder)"	item	8.1525	1	0
42281	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42281	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42281	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42281	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42281	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42281	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42281	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42281	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42281	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
42281	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
42281	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42281	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42281	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42281	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42300	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
42300	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42300	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42300	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42300	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42300	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42300	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42300	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42300	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42300	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
42300	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42300	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42300	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
42300	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42300	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42305	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
42305	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42310	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42310	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42310	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42310	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42310	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42310	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42310	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42310	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42310	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42310	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42310	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42320	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
42320	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42320	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42320	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42320	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42320	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42320	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42320	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42320	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42320	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42320	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42320	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42320	Jan03	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
42320	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42320	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42320	Jan03	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
42320	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42320	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42330	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42330	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42330	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42330	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42330	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42330	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42330	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42330	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42330	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42330	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42330	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42330	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42330	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42330	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42330	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42335	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42335	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
42335	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42335	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42335	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42335	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42335	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42335	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42335	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42335	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42335	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42335	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42335	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42335	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42335	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42335	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42335	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42335	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42335	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42335	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42335	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42335	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42335	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42335	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42335	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
42335	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42335	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42335	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
42335	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42335	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42335	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42335	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42335	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42335	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
42340	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42340	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42340	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42340	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42340	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42340	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42340	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42340	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42340	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42340	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42340	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42340	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42340	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42340	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42340	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42340	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42340	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42340	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42340	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42340	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
42340	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42340	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42340	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
42340	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42340	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42340	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42340	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42340	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42340	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
42340	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
42400	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42400	Jan03	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	29.615	1	0
42400	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42400	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
42400	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
42400	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42400	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42400	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
42405	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
42405	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42405	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42405	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
42405	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42405	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42405	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42405	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42405	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
42405	Jan03	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42405	Jan03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
42405	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
42405	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42405	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
42405	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42405	Jan03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	1
42408	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42408	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42408	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42408	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42408	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42408	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42408	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42408	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42408	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42408	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42408	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42408	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42408	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42408	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42408	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42408	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42408	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42408	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42408	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42408	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42408	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42408	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42408	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42408	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42408	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
42408	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42408	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42408	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42408	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42408	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42408	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
42409	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42409	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
42409	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42409	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42409	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42409	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42409	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42409	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42409	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42409	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42409	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42409	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42409	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42409	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42409	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42409	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42409	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42409	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42409	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42409	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42409	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42409	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42409	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42409	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42409	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42409	CMS	"Wound Care, Dressings"	SG064	"packing, gauze w-iodoform 0.25-0.5in (5 yd uou)"	item	3.9925	1	0
42409	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42409	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42409	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42409	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42409	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42409	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
42410	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42410	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42415	Apr08 df	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42415	Apr08 df	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42420	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42420	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42425	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42425	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42426	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42426	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42440	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42440	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42450	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42450	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
42450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
42450	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
42450	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	2
42450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
42450	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
42450	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42450	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42450	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42450	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
42450	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42450	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42450	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42450	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
42450	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42450	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42450	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42500	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42500	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42500	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42500	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
42500	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
42500	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
42500	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	2
42500	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
42500	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
42500	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42500	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42500	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42500	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
42500	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42500	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42500	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42500	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
42500	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42500	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42500	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42500	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42505	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
42505	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	1
42505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	2
42505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	2
42505	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	2
42505	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
42505	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
42505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42505	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42505	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
42505	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42505	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42505	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42505	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
42505	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42505	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42505	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42505	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42507	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42507	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42507	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
42507	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
42507	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
42507	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42507	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
42507	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
42509	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42509	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42509	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2.5
42509	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5
42509	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3.5
42509	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3.5
42509	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
42509	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3.5
42509	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3.5
42509	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42510	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42510	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42510	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
42510	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
42510	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
42510	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42510	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
42510	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
42550	Jan04 21	"Hypodermic, IV"	SC047	sialography infusion unit	item	27.4275	1	0
42600	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42600	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42600	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42600	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42600	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42600	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42600	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42600	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42600	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42600	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42600	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42600	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42600	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42600	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42600	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42600	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42600	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42600	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42600	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42600	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42600	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42600	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42600	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42600	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42600	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
42600	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42600	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42600	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42600	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42600	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
42650	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42650	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
42650	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42650	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42650	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42650	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42660	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42660	Jan03	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
42660	Jan03	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
42660	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42660	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42660	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42660	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42665	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42665	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
42665	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
42665	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
42665	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
42665	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
42665	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
42665	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42665	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42665	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
42665	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
42665	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	0
42665	CMS	"Hypodermic, IV"	SC037	"needle, dental"	item	0.092	1	0
42665	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
42665	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
42665	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42665	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
42665	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
42665	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
42665	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42665	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42665	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42665	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	2	0
42665	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
42665	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42665	CMS	"Pharmacy, Rx"	SH023	chlorhexidine 0.12% (Peridex)	oz	0.481	2	0
42665	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42665	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42665	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
42665	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42700	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42700	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42700	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42700	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42700	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42700	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42700	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42700	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42700	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42700	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42700	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42700	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42700	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42720	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42720	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42720	Jan03	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
42720	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
42720	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
42720	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
42720	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42720	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42720	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42720	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42720	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42720	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42720	Jan03	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
42720	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42725	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
42725	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42725	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42725	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42725	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42725	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42725	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42725	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42725	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42800	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42800	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
42800	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42800	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42800	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42800	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42800	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42800	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42800	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42800	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42800	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
42800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42804	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42804	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42804	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42804	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42804	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42804	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42804	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42804	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42804	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42804	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
42804	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
42804	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42804	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	2
42804	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
42806	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42806	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42806	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42806	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42806	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42806	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42806	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42806	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42806	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42806	Jan03	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
42806	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
42806	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42806	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	2
42806	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
42808	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42808	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42808	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42808	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42808	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42808	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
42808	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42808	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42808	Jan03	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42808	Jan03	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42808	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42809	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
42809	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
42809	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42809	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42809	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42809	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
42809	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
42809	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42809	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42810	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
42810	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
42810	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
42810	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
42810	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
42810	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	3	2
42810	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
42810	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
42810	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
42810	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
42810	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
42810	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
42810	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
42810	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
42810	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
42810	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
42810	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
42810	CMS	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	1	0
42810	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
42810	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
42810	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
42810	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
42810	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
42815	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
42815	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42815	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1.5
42815	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5
42815	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2.5
42815	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2.5
42815	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
42815	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2.5
42815	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		2.5
42815	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		5
42820	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
42820	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42821	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42821	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42825	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42825	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42826	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42826	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42830	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42830	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42831	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42831	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42835	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42835	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42836	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42836	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42842	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
42842	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42842	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
42842	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
42842	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
42842	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
42842	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42842	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
42842	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		3
42842	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
42842	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42842	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42842	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42844	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42844	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42844	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42844	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
42844	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
42844	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
42844	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42844	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
42844	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
42844	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42844	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42844	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42844	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42845	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42845	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42845	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42845	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
42845	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
42845	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
42845	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
42845	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
42845	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
42845	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
42845	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42845	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42845	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42860	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
42860	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
42870	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
42870	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
42870	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
42870	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2.5
42870	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2.5
42870	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		2.5
42870	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
42870	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		2.5
42870	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		2.5
42870	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2.5
42870	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42870	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42870	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42890	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
42890	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42890	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
42890	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
42890	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
42890	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
42890	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42890	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
42890	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
42890	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42890	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42890	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42890	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42892	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42892	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
42892	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42892	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42892	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
42892	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
42892	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
42892	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42892	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
42892	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
42892	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42892	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42892	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42892	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
42892	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42894	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42894	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
42894	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42894	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
42894	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
42894	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
42894	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		5
42894	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
42894	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		5
42894	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		5
42894	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
42894	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42894	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42894	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
42894	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42900	Jan03	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138		1
42900	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
42900	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42900	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
42900	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42900	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395		1
42900	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
42950	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
42950	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
42950	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
42950	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3.5
42950	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3.5
42950	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3.5
42950	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
42950	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3.5
42950	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		3.5
42950	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3.5
42950	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42950	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42950	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42953	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3
42953	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
42953	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42953	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
42953	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
42953	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
42953	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		4
42953	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
42953	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		4
42953	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
42953	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
42953	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		12
42953	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		6
42953	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
42953	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
42955	Mar04 I	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		2
42955	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42955	Mar04 I	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
42955	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
42955	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
42955	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		3
42955	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		3
42955	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
42955	Mar04 I	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		3
42955	Mar04 I	"Accessory, Procedure"	SD070	endosheath	item	16.7575		3
42955	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		3
42955	Mar04 I	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
42955	Mar04 I	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		4
42955	Mar04 I	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
42955	Mar04 I	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		2
42960	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42960	Jan03	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		1
42960	Jan03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42960	Jan03	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		1
42960	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42960	Jan03	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395		1
42960	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
42960	Jan03	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		1
42960	Jan03	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		1
42961	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
42961	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42961	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42961	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42961	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42961	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42961	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42961	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42961	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42962	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
42962	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42962	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42962	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42962	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42962	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42962	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42962	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42962	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42970	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42970	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42970	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42970	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42970	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42970	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42970	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42970	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42970	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42971	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42971	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42971	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42971	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42971	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42971	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42971	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42971	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42971	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
42972	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
42972	Mar04 I	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
42972	Mar04 I	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		1
42972	Mar04 I	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		1
42972	Mar04 I	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119		1
42972	Mar04 I	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
42972	Mar04 I	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
42972	Mar04 I	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
42972	Mar04 I	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		10
43020	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43020	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43030	Mar04 I	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
43030	Mar04 I	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43045	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43100	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43101	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43107	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43107	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43107	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43108	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43112	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43112	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43112	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43113	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43113	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43116	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43117	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43117	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43117	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43118	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43118	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43122	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43123	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43124	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
43124	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43130	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43135	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43180	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
43197	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43197	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43197	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
43197	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
43197	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
43197	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43197	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43197	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	2	0
43197	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	5	0
43197	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
43197	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43197	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	10	0
43197	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
43197	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
43197	CMS	Lab	SL464	Atomizer tips (disposable)	item		1	0
43197	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43197	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
43198	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43198	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43198	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
43198	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
43198	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
43198	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43198	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43198	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	2	0
43198	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	5	0
43198	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
43198	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43198	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	10	0
43198	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
43198	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
43198	CMS	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	0
43198	CMS	Lab	SL464	Atomizer tips (disposable)	item		1	0
43198	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43198	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
43200	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43200	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43200	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43200	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43200	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43200	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43200	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43200	RUC	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43200	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43200	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43200	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43200	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43200	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43200	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43200	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43200	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43200	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43200	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43201	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43201	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43201	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43201	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43201	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43201	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43201	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43201	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43201	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
43201	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43201	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43201	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43201	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43201	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43201	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43201	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43201	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43201	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43201	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43201	Mod sed	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	0
43201	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43201	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43201	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43202	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43202	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43202	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43202	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43202	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43202	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43202	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43202	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43202	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43202	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43202	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
43202	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43202	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43202	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43202	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43202	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43202	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43202	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43202	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43202	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43202	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43202	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43202	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43206	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43206	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43206	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43206	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43206	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43206	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43206	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43206	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43206	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43206	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43206	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43206	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43206	Mod sed	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0
43206	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43206	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43206	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43206	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43206	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43206	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43206	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43206	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43206	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43213	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43213	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43213	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43213	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43213	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43213	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43213	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43213	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43213	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43213	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	0
43213	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	3	0
43213	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43213	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43213	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43213	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43213	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43213	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43213	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43213	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43213	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43213	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43213	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43213	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43213	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43215	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43215	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43215	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43215	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43215	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43215	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43215	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43215	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43215	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43215	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43215	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43215	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
43215	Mod sed	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
43215	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43215	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43215	Mod sed	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	19.4575	1	0
43215	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43215	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43215	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43215	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43215	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43215	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43215	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43215	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43215	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43216	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43216	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43216	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43216	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43216	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43216	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43216	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43216	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43216	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43216	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43216	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
43216	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43216	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43216	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43216	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
43216	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43216	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43216	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43216	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43216	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43216	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43216	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43216	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43216	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43216	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43217	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43217	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43217	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43217	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43217	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43217	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43217	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43217	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43217	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43217	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43217	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43217	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
43217	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43217	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43217	Mod sed	"Accessory, Procedure"	SD289	PROXY endoscopic grasping forceps	item	19.4575	1	0
43217	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
43217	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43217	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43217	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43217	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43217	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43217	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43217	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43217	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43217	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43217	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43220	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43220	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43220	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43220	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43220	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43220	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43220	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43220	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43220	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43220	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43220	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43220	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43220	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43220	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43220	Mod sed	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	183.1075	3	0
43220	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43220	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43220	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43220	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43220	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43220	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43220	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43220	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43220	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43226	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43226	Mod sed	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
43226	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43226	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43226	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43226	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43226	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43226	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43226	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43226	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43226	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43226	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43226	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43226	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43226	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43226	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43226	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43226	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43226	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43226	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43226	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43226	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43226	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43226	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43227	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43227	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43227	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43227	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43227	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43227	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43227	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43227	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43227	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43227	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43227	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43227	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43227	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43227	Mod sed	"Accessory, Procedure"	SD282	endoscopic clip	item	47.4725	1	0
43227	Mod sed	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	165.0375	1	0
43227	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
43227	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43227	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43227	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43227	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43227	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43227	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43227	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43227	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43227	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43227	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43229	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43229	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43229	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43229	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43229	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43229	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43229	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43229	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43229	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43229	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	0
43229	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
43229	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43229	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43229	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43229	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43229	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43229	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43229	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43229	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43229	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43229	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43229	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43229	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43229	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43231	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43231	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43231	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43231	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43231	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43231	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43231	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43231	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43231	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43231	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43231	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43231	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43231	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43231	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43231	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43231	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43231	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43231	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43231	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43231	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43231	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43231	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43232	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43232	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43232	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43232	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43232	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43232	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43232	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43232	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43232	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43232	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43232	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43232	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43232	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43232	Mod sed	"Accessory, Procedure"	SD283	"needle, endoscopic ultrasound, cytology"	item		1	0
43232	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43232	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43232	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43232	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43232	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43232	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43232	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43232	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43232	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43235	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43235	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43235	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43235	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43235	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43235	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43235	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43235	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43235	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43235	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43235	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43235	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43235	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43235	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43235	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43235	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43235	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43235	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43235	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43235	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43235	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43235	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43236	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43236	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43236	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43236	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43236	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43236	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43236	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43236	Mod sed	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	42	1	0
43236	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43236	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
43236	Mod sed	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
43236	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43236	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43236	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43236	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43236	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43236	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43236	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43236	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43236	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43236	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43236	Mod sed	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	0
43236	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43236	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43236	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43239	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43239	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43239	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43239	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43239	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43239	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43239	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43239	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43239	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43239	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43239	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
43239	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43239	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43239	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43239	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43239	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43239	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43239	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43239	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43239	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43239	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43239	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43239	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43245	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43245	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43245	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43245	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43245	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43245	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43245	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43245	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43245	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43245	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43245	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
43245	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43245	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43245	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43245	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43245	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43245	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43245	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43245	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43245	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43245	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43245	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43245	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43247	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43247	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43247	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43247	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43247	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43247	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43247	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43247	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43247	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43247	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43247	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43247	Mod sed	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
43247	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43247	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43247	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43247	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43247	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43247	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43247	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43247	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43247	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43247	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43247	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43248	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43248	Mod sed	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
43248	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43248	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43248	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43248	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43248	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43248	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43248	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43248	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43248	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43248	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43248	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43248	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43248	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43248	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43248	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43248	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43248	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43248	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43248	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43248	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43248	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43248	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43249	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43249	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43249	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43249	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43249	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43249	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43249	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43249	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43249	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43249	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43249	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	3	0
43249	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43249	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43249	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43249	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43249	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43249	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43249	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43249	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43249	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43249	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43249	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43249	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43249	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43250	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43250	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43250	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43250	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43250	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43250	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43250	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43250	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43250	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43250	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43250	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
43250	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43250	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43250	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43250	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
43250	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43250	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43250	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43250	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43250	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43250	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43250	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43250	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43250	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43250	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43251	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43251	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43251	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43251	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43251	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43251	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43251	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43251	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43251	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43251	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43251	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
43251	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43251	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
43251	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43251	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43251	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43251	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43251	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43251	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43251	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43251	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43251	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43251	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43251	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43251	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43252	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43252	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43252	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43252	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43252	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43252	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43252	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43252	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43252	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43252	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43252	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43252	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43252	Mod sed	"Accessory, Procedure"	SD285	"catheter, optical endomicroscopy"	item		1	0
43252	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43252	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43252	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43252	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43252	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43252	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43252	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43252	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43252	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43255	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43255	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43255	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43255	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43255	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43255	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43255	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43255	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43255	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43255	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43255	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43255	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43255	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43255	Mod sed	"Accessory, Procedure"	SD282	endoscopic clip	item	47.4725	1	0
43255	Mod sed	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	165.0375	1	0
43255	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
43255	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
43255	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43255	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43255	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43255	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43255	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43255	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43255	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43255	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43255	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43270	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43270	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43270	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43270	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43270	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43270	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43270	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43270	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43270	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43270	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43270	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
43270	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
43270	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
43270	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43270	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43270	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
43270	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
43270	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43270	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43270	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43270	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
43270	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
43270	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
43270	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43279	CPT09 13	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43279	CPT09 13	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43280	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43281	CPT10 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43281	CPT10 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43282	CPT10 9	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43282	CPT10 9	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43284	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43285	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43286	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43286	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43287	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43287	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43288	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43288	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
43312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43313	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
43313	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
43314	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43320	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43325	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43325	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43327	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43327	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43328	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43328	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43330	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43331	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43331	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43332	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43332	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43333	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43333	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43334	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43334	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43335	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43335	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43336	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43336	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43337	CPT11 7	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43337	CPT11 7	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43340	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43341	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43341	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43351	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43352	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43360	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43361	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43400	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43401	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43401	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43405	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43410	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43415	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43415	CPT12 5 Year	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43420	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43425	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43450	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43450	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43450	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43450	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43450	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43450	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43450	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43450	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43450	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43450	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43450	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43450	Mod sed	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
43450	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43450	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43450	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43450	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43453	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
43453	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43453	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
43453	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
43453	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43453	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
43453	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
43453	Mod sed	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
43453	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43453	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43453	Mod sed	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
43453	Mod sed	"Accessory, Procedure"	SD286	endoscopic guidewire	item	177.645	1	0
43453	Mod sed	"Accessory, Procedure"	SD287	"endoscopic balloon, dilation"	item	183.1075	2	0
43453	Mod sed	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
43453	Mod sed	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43453	Mod sed	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43453	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43453	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	3	0
43500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43611	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43620	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43621	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43621	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43622	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43622	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43631	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43632	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43633	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43633	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43634	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43634	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43640	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43641	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43641	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43644	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43644	CPT05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43645	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43645	CPT05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
43651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43651	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43652	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43652	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43653	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43653	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43653	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		2
43653	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775		1
43653	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		1
43754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
43754	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	0
43754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
43754	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
43754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43754	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	12.3089	1	0
43754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43754	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
43754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43754	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	0
43754	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0
43754	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	0
43754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43754	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43754	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
43754	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	0
43754	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
43754	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
43754	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	1	0
43755	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
43755	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43755	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
43755	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	0
43755	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43755	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
43755	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
43755	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
43755	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
43755	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43755	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	12.3089	1	0
43755	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43755	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
43755	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43755	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0
43755	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	0
43755	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43755	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43755	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43755	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
43755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	0
43755	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
43755	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	12	0
43755	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	4	0
43756	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43756	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
43756	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	0
43756	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
43756	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
43756	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
43756	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43756	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	12.3089	1	0
43756	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43756	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
43756	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43756	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0
43756	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	0
43756	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43756	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43756	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43756	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
43756	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	0
43756	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
43756	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
43756	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	1	0
43757	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
43757	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43757	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
43757	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	0
43757	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
43757	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
43757	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
43757	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
43757	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43757	CMS	"Hypodermic, IV"	SC065	"adapter, luer lock"	item	12.3089	1	0
43757	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
43757	CMS	"Accessory, Procedure"	SD121	"suction specimen trap, sterile"	item	2.5225	1	0
43757	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
43757	CMS	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	12	0
43757	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	0
43757	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
43757	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
43757	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
43757	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
43757	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	0
43757	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
43757	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	9	0
43757	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	3	0
43761	Mar04 R	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
43770	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43770	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43770	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		2
43770	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		2
43770	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
43770	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
43770	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
43771	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43771	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43771	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		2
43771	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		2
43771	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
43771	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
43771	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
43772	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43772	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43773	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43773	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43773	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		2
43773	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		2
43773	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
43773	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
43773	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
43774	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43774	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43810	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43825	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43830	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43830	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		2
43830	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775		1
43830	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		1
43831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43831	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43831	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		2
43831	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775		1
43831	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		1
43832	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43832	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43832	Sep02	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		2
43832	Sep02	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775		1
43832	Sep02	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545		1
43840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43840	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43842	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43842	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43843	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43843	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43845	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43845	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43846	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43846	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43847	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43847	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43848	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
43848	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43850	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43855	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43865	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43870	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
43880	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
43886	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43886	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43886	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		2
43886	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		2
43886	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
43886	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
43886	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
43887	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43887	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43888	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
43888	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
43888	RUC05	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		2
43888	RUC05	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145		2
43888	RUC05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347		2
43888	RUC05	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377		2
43888	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		4
43X63	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43X63	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
43X63	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
43X63	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
43X63	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
43X63	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
43X63	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
43X63	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43X63	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
43X63	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
43X63	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
43X63	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
43X63	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
43X63	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
43X63	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	1	0
43X64	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
43X64	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
43X64	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
43X64	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
43X64	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
43X64	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
43X64	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
43X64	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
43X64	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
43X64	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
43X64	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
43X64	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
43X64	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
43X64	RUC	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
43X64	RUC	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
43X64	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
43X64	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
43X64	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
43X64	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
43X64	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
43X64	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
43X64	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
43X64	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
43X64	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
43X64	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
43X64	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
43X64	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
43X64	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	1	0
44005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44021	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44021	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44025	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44025	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44050	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44055	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44110	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44111	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44125	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44127	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44127	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44141	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44141	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
44141	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
44143	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44143	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44143	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
44143	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
44144	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44144	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44144	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1
44144	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		1
44145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44146	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44146	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5
44146	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5
44147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44147	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44150	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5
44150	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5
44151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44151	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44151	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5
44151	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5
44155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44155	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44155	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		5
44155	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		5
44156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44156	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44156	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6
44156	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6
44157	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44157	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
44157	CPT07	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
44157	CPT07	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
44158	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44158	CPT07	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
44158	CPT07	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
44158	CPT07	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
44160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44160	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44180	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44180	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44186	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44186	RUC05	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44186	RUC05	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
44186	RUC05	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
44187	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44187	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
44187	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
44187	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
44188	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44188	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
44188	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
44188	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
44202	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44202	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44204	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44204	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44205	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44206	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44206	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44206	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
44207	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44207	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44208	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44208	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44208	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1.5
44208	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
44210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44210	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		1
44210	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2
44211	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44211	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44211	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2
44211	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
44212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44212	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
44212	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2
44212	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
44227	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44227	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
44300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44314	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44316	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
44322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44322	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		6
44322	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		6
44340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44345	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44346	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44346	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44380	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44380	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44380	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44380	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44380	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44380	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44380	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44380	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44380	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44380	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44380	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44380	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44380	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44380	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44380	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44380	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44380	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44380	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44381	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44381	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44381	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44381	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44381	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44381	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44381	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44381	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44381	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44381	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	3	0
44381	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44381	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
44381	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44381	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44381	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44381	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44381	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44381	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44381	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44381	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44382	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44382	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44382	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44382	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44382	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44382	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44382	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44382	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
44382	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44382	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44382	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44382	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44382	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44382	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44382	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44382	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44382	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44385	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44385	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44385	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44385	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44385	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44385	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44385	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44385	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44385	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	0
44385	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44385	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
44385	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44385	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44385	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44385	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44385	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44385	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44385	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44386	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44386	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44386	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44386	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44386	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44386	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44386	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44386	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44386	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	0
44386	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
44386	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44386	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
44386	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44386	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44386	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44386	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44386	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44386	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44386	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44388	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44388	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44388	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44388	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44388	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44388	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44388	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44388	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44388	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44388	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44388	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44388	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44388	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44388	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44388	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44388	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44388	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44388	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44389	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44389	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44389	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44389	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44389	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44389	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44389	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44389	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44389	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44389	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
44389	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44389	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44389	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44389	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44389	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44389	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44389	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44389	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44389	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44390	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44390	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44390	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44390	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44390	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44390	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44390	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44390	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44390	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44390	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44390	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
44390	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44390	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44390	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44390	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44390	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44390	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44390	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44390	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44391	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44391	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44391	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44391	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44391	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44391	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44391	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44391	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44391	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44391	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44391	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44391	Mod sed	"Accessory, Procedure"	SD282	endoscopic clip	item	47.4725	1	0
44391	Mod sed	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	165.0375	1	0
44391	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
44391	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
44391	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44391	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44391	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44391	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44391	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44391	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44391	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44392	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44392	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44392	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44392	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44392	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44392	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44392	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44392	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44392	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44392	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44392	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44392	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
44392	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
44392	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44392	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44392	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44392	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44392	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44392	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44392	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44394	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44394	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44394	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44394	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44394	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44394	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44394	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44394	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44394	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44394	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44394	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
44394	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44394	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
44394	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
44394	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44394	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44394	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44394	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44394	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44394	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44394	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44401	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44401	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44401	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44401	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44401	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44401	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44401	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44401	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44401	Mod sed	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"		1710	1	0
44401	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44401	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
44401	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
44401	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
44401	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44401	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44401	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44401	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44401	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44401	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44401	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44401	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44404	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44404	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44404	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44404	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44404	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44404	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44404	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44404	Mod sed	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	42	1	0
44404	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44404	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
44404	Mod sed	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
44404	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44404	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44404	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44404	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44404	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44404	Mod sed	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	0
44404	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44404	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44404	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44405	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
44405	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
44405	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
44405	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
44405	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
44405	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
44405	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
44405	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44405	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
44405	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
44405	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
44405	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
44405	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
44405	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
44405	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
44405	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
44405	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
44405	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
44602	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44602	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44603	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44603	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44604	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44604	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44605	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44605	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		2
44605	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2
44615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44615	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44620	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44626	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44626	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44640	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44661	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44661	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44680	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44705	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
44705	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
44705	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
44705	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
44705	CMS	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	0
44705	CMS	Lab	SL020	bleach	ml	0.0033	300	0
44705	CMS	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.5435	1	0
44705	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	50	0
44705	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	0
44800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
44800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44850	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44950	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
44960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
44970	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
44970	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
45000	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
45005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
45005	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45005	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45005	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45005	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45005	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
45005	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
45005	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45005	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
45005	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45005	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45005	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45005	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
45005	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
45005	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45005	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
45005	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
45005	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
45005	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
45005	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
45005	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45005	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45005	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
45005	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45005	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
45020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
45100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
45108	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45110	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
45110	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45113	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45113	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45113	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
45113	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45114	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45114	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45116	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45116	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45119	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45119	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45119	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
45119	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
45120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
45121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45123	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45123	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45126	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45126	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45126	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
45126	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45135	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45136	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
45136	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
45150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45150	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45160	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45160	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
45171	CPT10 31	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45171	CPT10 31	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45171	CPT10 31	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
45171	CPT10 31	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
45171	CPT10 31	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785		2
45171	CPT10 31	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
45171	CPT10 31	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		1
45171	CPT10 31	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
45171	CPT10 31	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
45171	CPT10 31	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
45171	CPT10 31	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		3
45171	CPT10 31	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498		8
45171	CPT10 31	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		6
45171	CPT10 31	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45172	CPT10 31	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45172	CPT10 31	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45172	CPT10 31	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
45172	CPT10 31	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
45172	CPT10 31	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785		2
45172	CPT10 31	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
45172	CPT10 31	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		1
45172	CPT10 31	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
45172	CPT10 31	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
45172	CPT10 31	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
45172	CPT10 31	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		3
45172	CPT10 31	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498		8
45172	CPT10 31	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		6
45172	CPT10 31	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45190	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45190	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45190	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45190	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45190	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45190	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45300	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45300	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45300	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
45300	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45300	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45300	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45300	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45300	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45300	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45300	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45300	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	4	0
45300	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45300	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45300	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45300	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
45303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45303	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45303	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45303	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45303	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45303	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45303	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45303	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45303	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45303	CMS	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	3	0
45303	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45303	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45303	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45303	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45303	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45303	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45303	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45303	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45303	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45303	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45303	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45303	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45303	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45305	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45305	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45305	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45305	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45305	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45305	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45305	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45305	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45305	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45305	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45305	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45305	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45305	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45305	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45305	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45305	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45305	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45305	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45305	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45305	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45305	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45307	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45307	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45307	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45307	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45307	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45307	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45307	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45307	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45307	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45307	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45307	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45307	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45307	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45307	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45307	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45307	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45307	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45307	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45307	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45307	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45307	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45307	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45308	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45308	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45308	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45308	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45308	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45308	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45308	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45308	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45308	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45308	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45308	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45308	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45308	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45308	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45308	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45308	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45308	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45308	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45308	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45308	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45308	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45308	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45309	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45309	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45309	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45309	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45309	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45309	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45309	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45309	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45309	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45309	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45309	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45309	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45309	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45309	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45309	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45309	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45309	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45309	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45309	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45309	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45309	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45309	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45315	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45315	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45315	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45315	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45315	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45315	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45315	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45315	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45315	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45315	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45315	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45315	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45315	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45315	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45315	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45315	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45315	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45315	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45315	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45315	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45315	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45317	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45317	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45317	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45317	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45317	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45317	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45317	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45317	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45317	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45317	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45317	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45317	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45317	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45317	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45317	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45317	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45317	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45317	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45317	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45317	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45317	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45320	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
45320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
45320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45320	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45320	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
45320	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45320	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45320	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
45320	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45320	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45320	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
45320	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
45320	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45320	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45320	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45320	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
45320	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45320	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
45320	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
45320	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
45330	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45330	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45330	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45330	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45330	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45330	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45330	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45330	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45330	RUC	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45330	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45330	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45330	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
45330	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45330	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45330	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45330	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45330	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45330	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45331	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45331	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45331	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45331	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45331	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45331	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45331	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45331	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45331	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45331	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
45331	CMS	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45331	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45331	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45331	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
45331	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45331	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45331	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45331	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45331	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45331	CMS	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45332	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45332	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45332	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45332	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45332	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45332	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45332	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45332	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45332	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45332	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45332	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
45332	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45332	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45332	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45332	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45332	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45332	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45332	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45332	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45333	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45333	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45333	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45333	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45333	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45333	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45333	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45333	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45333	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45333	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
45333	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45333	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45333	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
45333	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45333	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45333	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45333	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45333	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45333	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45333	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45333	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45334	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45334	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45334	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45334	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45334	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45334	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45334	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45334	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45334	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45334	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45334	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45334	Mod sed	"Accessory, Procedure"	SD282	endoscopic clip	item	47.4725	1	0
45334	Mod sed	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	165.0375	1	0
45334	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
45334	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45334	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45334	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45334	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45334	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45334	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45334	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45334	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45335	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45335	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45335	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45335	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45335	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45335	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45335	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45335	Mod sed	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	42	1	0
45335	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45335	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
45335	Mod sed	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
45335	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45335	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45335	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45335	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45335	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45335	Mod sed	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	0
45335	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45335	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45335	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45338	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45338	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45338	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45338	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45338	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45338	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45338	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45338	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45338	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45338	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45338	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
45338	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45338	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45338	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45338	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45338	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45338	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45338	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45338	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45338	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45340	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45340	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45340	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45340	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45340	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45340	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45340	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45340	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45340	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45340	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
45340	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45340	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45340	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45340	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45340	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45340	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45340	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45340	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45340	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45346	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45346	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45346	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45346	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45346	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45346	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45346	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45346	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45346	Mod sed	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"		1710	1	0
45346	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45346	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
45346	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45346	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
45346	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45346	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45346	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45346	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45346	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45346	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45346	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45346	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45350	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45350	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45350	Mod sed	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system		261.7	1	0
45350	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45350	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45350	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45350	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45350	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45350	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45350	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45350	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45350	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45350	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45350	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
45350	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	0
45350	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45350	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45350	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45350	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45378	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45378	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45378	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45378	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45378	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45378	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45378	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45378	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45378	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45378	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45378	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45378	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45378	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45378	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45378	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45378	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45378	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45378	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45379	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45379	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45379	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45379	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45379	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45379	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45379	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45379	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45379	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45379	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45379	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
45379	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45379	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45379	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45379	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45379	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45379	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45379	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45379	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45380	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45380	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45380	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45380	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45380	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45380	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45380	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45380	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45380	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45380	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
45380	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45380	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45380	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45380	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45380	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45380	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45380	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45380	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45380	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45381	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45381	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45381	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45381	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45381	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45381	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45381	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45381	Mod sed	"Hypodermic, IV"	SC044	"needle, variceal injection"	item	42	1	0
45381	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45381	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
45381	Mod sed	"Hypodermic, IV"	SC079	"needle, micropigmentation (tattoo)"	item	17.385	1	0
45381	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45381	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45381	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45381	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45381	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45381	Mod sed	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	0
45381	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45381	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45381	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45382	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45382	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45382	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45382	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45382	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45382	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45382	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45382	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45382	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45382	Mod sed	"Accessory, Procedure"	SD282	endoscopic clip	item	47.4725	1	0
45382	Mod sed	"Accessory, Procedure"	SD284	"cautery, bipolar, probe, endoscopy"	item	165.0375	1	0
45382	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
45382	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45382	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45382	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45382	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45382	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45382	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45382	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45382	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45384	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45384	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45384	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45384	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45384	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45384	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45384	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45384	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45384	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45384	Mod sed	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
45384	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45384	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45384	Mod sed	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
45384	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45384	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45384	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45384	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45384	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45384	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45384	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45384	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45385	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45385	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45385	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45385	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45385	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45385	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45385	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45385	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45385	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45385	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45385	Mod sed	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
45385	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45385	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
45385	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45385	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45385	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45385	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45385	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45385	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45385	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45386	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45386	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45386	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45386	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45386	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45386	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45386	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45386	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45386	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45386	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
45386	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45386	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45386	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45386	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45386	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45386	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45386	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45386	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45386	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45388	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45388	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45388	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45388	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45388	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45388	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45388	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45388	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45388	Mod sed	"Hypodermic, IV"	SC103	"catheter, RF ablation, endoscopic"		1710	1	0
45388	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45388	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
45388	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45388	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
45388	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45388	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45388	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45388	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45388	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45388	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45388	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45388	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45395	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45395	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
45395	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
45395	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
45397	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45397	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
45397	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		4
45397	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		4
45398	Mod sed	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45398	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45398	Mod sed	"Kit, Pack, Tray"	SA115	hemorrhoidal banding system		261.7	1	0
45398	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
45398	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
45398	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45398	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
45398	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
45398	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45398	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45398	Mod sed	"Accessory, Procedure"	SD067	endoscopic cytology brush	item	12.7625	1	0
45398	Mod sed	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45398	Mod sed	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
45398	Mod sed	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45398	Mod sed	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
45398	Mod sed	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	0
45398	Mod sed	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
45398	Mod sed	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
45398	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
45400	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45400	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
45402	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45402	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
45500	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45500	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45500	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45500	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45500	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45500	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45505	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45505	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45505	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45505	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45505	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45505	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45520	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
45520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
45520	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45520	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45520	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45520	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45520	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
45520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
45520	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45520	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
45520	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45520	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	0
45520	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45520	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0
45520	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
45520	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
45520	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
45520	CMS	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	5	0
45520	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45520	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45520	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
45520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45520	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
45540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
45540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45540	Sep02	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1
45540	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45540	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45540	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		1
45541	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45541	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45541	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45541	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45541	Apr06 J	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1
45541	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45541	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45541	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45541	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45550	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45550	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45550	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45550	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45550	Apr06 J	"Accessory, Procedure"	SD117	sigmoidoscope	item	2.459		1
45550	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45550	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45550	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45550	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45560	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45560	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
45560	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45560	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45560	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45560	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45560	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45560	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45562	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45562	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45562	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45562	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45562	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45562	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45562	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45562	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45563	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45563	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45563	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45563	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45563	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45563	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45563	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45563	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45563	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45800	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45800	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45800	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45800	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45800	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45800	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45805	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45805	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45805	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45805	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45805	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45805	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45805	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45805	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45805	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45820	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45820	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
45820	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45820	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45820	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45820	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45825	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
45825	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
45825	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45825	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
45825	Apr06 J	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
45825	Apr06 J	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
45825	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
45825	Apr06 J	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
45825	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
45900	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
45900	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45905	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
45905	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45910	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
45910	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
45915	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
45915	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
45915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
45915	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
45915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
45915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
45915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
45915	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
45915	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
45915	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
45915	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
45915	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
45915	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
45915	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
45915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
45915	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
45915	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
45915	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
45915	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
45915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
45915	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
45915	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46020		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
46020		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
46020		"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	1
46020		"Cutters, Closures, Cautery"	SF031	"loop, surgical (Surg-I-Loop)"	item	1.6562	1	0
46020		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
46020		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	1
46030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
46030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46030	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46030	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46030	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46030	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46040	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46040	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	3
46040	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46040	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46040	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46040	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46040	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46040	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46040	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46040	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46040	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46040	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	13.4675	1	0
46040	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46040	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46040	RUC	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46040	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46040	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46040	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46040	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
46040	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46040	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46040	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46040	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46040	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46040	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46045	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46045	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46045	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46045	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46045	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46045	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
46050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46050	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46050	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46050	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46050	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46050	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46050	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46050	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46050	RUC	"Accessory, Procedure"	SD026	"catheter, Pezzar (mushroom)"	item	13.4675	1	0
46050	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46050	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46050	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46050	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46050	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	0
46050	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46050	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46050	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46050	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46050	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46050	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46050	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46050	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46050	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46060	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46060	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46060	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46060	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46060	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46060	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46070	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46070	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46070	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46070	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46070	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46070	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46080	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
46080	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46080	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46080	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46080	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46080	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46080	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46080	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46080	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46080	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46080	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46080	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46080	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46080	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46080	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46080	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46080	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
46080	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46080	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46080	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46080	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46080	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46080	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46080	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46080	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46080	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46080	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46080	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46083	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
46083	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46083	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46083	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46083	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46083	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46083	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46083	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46083	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46083	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46083	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46083	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46083	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46083	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46083	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
46083	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46083	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46083	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46083	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46083	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46083	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46083	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46083	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46083	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46083	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46083	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46200	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46200	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4.5	3.5
46200	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46200	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46200	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46200	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46200	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46200	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46200	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46200	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46200	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46200	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46200	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46200	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
46200	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
46200	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46200	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46200	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46200	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46220	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46220	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46220	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46220	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46220	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46220	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46220	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46220	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46220	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46220	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
46220	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46220	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46220	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46220	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46220	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46220	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46220	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46220	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46221	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46221	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46221	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46221	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46221	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46221	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46221	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46221	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46221	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46221	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46221	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46221	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46221	CMS	"Cutters, Closures, Cautery"	SF032	"rubber bands, sterile for ligation"	item	0.3113	1	0
46221	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46221	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46221	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46221	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46221	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46230	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
46230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46230	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46230	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46230	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46230	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46230	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46230	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46230	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46230	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46230	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46230	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46230	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46230	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46230	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
46230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
46230	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46230	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46230	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46230	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46230	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46230	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46230	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46230	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46230	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46230	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46230	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46250	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
46250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46250	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46250	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46250	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46250	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46250	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46250	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46250	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46250	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46250	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46250	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46250	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
46250	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46250	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46250	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46250	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46250	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46250	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46250	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46250	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
46255	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46255	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
46255	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46255	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46255	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46255	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46255	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46255	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46255	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46255	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46255	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46255	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46255	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46255	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46255	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46255	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46255	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
46255	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46255	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46255	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46255	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46255	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46255	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46255	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46255	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
46257	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46257	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46257	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46257	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46257	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46257	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46258	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46258	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46258	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46260	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46260	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46260	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46260	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46260	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46260	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46261	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46261	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46261	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46262	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46262	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46262	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46262	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46262	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46262	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46270	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
46270	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46270	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46270	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46270	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46270	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46270	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46270	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46270	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46270	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46270	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46270	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46270	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46270	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46270	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
46270	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
46270	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46270	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46270	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46270	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46270	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46270	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46275	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
46275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46275	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46275	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46275	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46275	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46275	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46275	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46275	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46275	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46275	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46275	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46275	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46275	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
46275	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
46275	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46275	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46275	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46275	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46275	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46275	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46280	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46280	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46280	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46280	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46280	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46280	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46285	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46285	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46285	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
46285	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46285	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46285	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46285	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46285	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46285	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46285	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46285	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46285	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46285	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46285	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46285	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46285	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46285	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46285	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46285	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
46285	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
46285	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46285	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46285	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46285	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46285	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46285	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46288	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46288	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46288	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46288	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46288	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46288	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46320	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	1
46320	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46320	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46320	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46320	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46320	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46320	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46320	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46320	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46320	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46320	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46320	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46320	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46320	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46320	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
46320	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46320	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46320	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46320	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46320	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46320	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46320	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46320	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46320	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46320	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46320	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46500	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46500	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
46500	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1
46500	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	1
46500	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46500	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
46500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46500	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	1
46500	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
46500	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
46500	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
46500	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0
46500	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46500	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46500	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	5	0
46500	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	1
46500	RUC	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	2	1
46500	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46500	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46500	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46505	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46505	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	2
46505	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	2
46505	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	1
46505	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	2
46505	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	2
46505	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46505	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46505	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
46505	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	1
46505	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	2	1
46505	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	4
46505	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
46505	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	1	0
46505	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46505	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46505	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	2	1
46600	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46600	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46600	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46600	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46600	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46600	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46600	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46600	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46600	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46600	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46600	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46600	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46600	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46600	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46600	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46600	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46600	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46600	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46600	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46600	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46600	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46600	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46601	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46601	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
46601	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
46601	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
46601	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46601	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46601	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46601	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46601	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46601	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	10	0
46601	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
46601	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46601	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	8	0
46601	CMS	Lab	SL146	tubed culture media	item	0.8668	0.5	0
46604	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46604	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46604	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46604	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46604	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46604	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46604	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46604	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46604	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46604	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46604	RUC	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	2	0
46604	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46604	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46604	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46604	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46604	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46604	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46604	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46604	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46604	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46604	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46604	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46604	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46606	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46606	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46606	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46606	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46606	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46606	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46606	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46606	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46606	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46606	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46606	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46606	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
46606	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46606	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46606	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46606	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46606	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46606	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46606	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46606	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46606	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46606	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46606	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46606	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46606	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46606	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46606	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46607	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46607	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
46607	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
46607	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
46607	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
46607	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
46607	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
46607	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46607	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46607	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46607	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46607	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46607	CMS	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	10	0
46607	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
46607	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
46607	CMS	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	2	0
46607	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46607	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
46607	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	12	0
46607	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
46607	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	2	0
46607	CMS	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
46607	CMS	Lab	SL146	tubed culture media	item	0.8668	0.5	0
46608	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46608	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46608	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46608	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46608	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46608	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46608	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46608	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46608	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46608	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46608	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46608	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
46608	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46608	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46608	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46608	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46608	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46608	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46608	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46608	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46608	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46608	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46608	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46608	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46608	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46610	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46610	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46610	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46610	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46610	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46610	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46610	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46610	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46610	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46610	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
46610	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46610	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46610	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46610	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46610	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46610	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46610	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46610	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46610	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46610	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46610	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46610	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46610	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46611	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46611	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46611	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46611	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46611	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46611	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46611	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46611	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46611	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46611	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46611	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46611	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
46611	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46611	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46611	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46611	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46611	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46611	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46611	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46611	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46611	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46611	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46611	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46611	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46611	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46611	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46611	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46612	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46612	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46612	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46612	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46612	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46612	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46612	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46612	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46612	CMS	"Accessory, Procedure"	SD066	endoscopic biopsy forceps	item	54.9575	1	0
46612	CMS	"Accessory, Procedure"	SD068	endoscopic polypectomy snare	item	21.8625	1	0
46612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46612	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46612	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46612	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46612	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46612	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46612	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46612	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46612	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46614	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46614	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46614	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46614	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46614	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46614	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46614	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46614	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46614	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46614	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46614	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46614	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46614	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46614	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46614	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46614	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46614	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
46615	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
46615	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46615	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
46615	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
46615	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
46615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46615	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46615	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46615	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46615	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46615	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46615	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46615	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46615	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46615	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46615	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46615	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46615	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46615	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46615	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46615	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46615	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46615	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46700	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46700	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46700	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46700	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46700	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46700	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46705	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46705	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
46705	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46705	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46705	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46705	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46706		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
46707	CPT10 12	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46707	CPT10 12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46707	CPT10 12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46707	CPT10 12	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46707	CPT10 12	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46707	CPT10 12	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46710	RUC05	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46710	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46710	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
46710	RUC05	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
46710	RUC05	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
46710	RUC05	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
46710	RUC05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46710	RUC05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46710	RUC05	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
46712	RUC05	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46712	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46712	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
46712	RUC05	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
46712	RUC05	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		1
46712	RUC05	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		1
46712	RUC05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46712	RUC05	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		3
46712	RUC05	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		3
46712	RUC05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46712	RUC05	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		1
46715	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46715	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46715	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46715	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46715	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46715	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46716	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46716	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
46716	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46716	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46716	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46716	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46730	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46730	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46730	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46730	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46730	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46730	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46735	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46735	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46735	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46735	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46735	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46735	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46740	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46740	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46740	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46740	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46740	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46740	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46742	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46742	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46742	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46742	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46742	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46742	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46744	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46744	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46744	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46744	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46744	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46744	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46746	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46746	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46746	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46746	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46746	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46746	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46748	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46748	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
46748	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46748	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46748	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46748	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46750	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46750	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46750	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46750	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46750	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46750	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46751	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46751	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
46751	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46751	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46751	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46751	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46753	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46753	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46753	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46753	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46753	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46753	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46754	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
46754	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46754	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46754	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46754	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46754	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46754	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46754	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46754	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46754	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46754	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46754	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46754	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46754	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46754	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46754	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46754	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46754	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46754	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46754	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46754	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46754	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46754	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46754	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46760	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46760	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
46760	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46760	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46760	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46760	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46761	Apr06 J	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		1
46761	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
46761	Apr06 J	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
46761	Apr06 J	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46761	Apr06 J	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46761	Apr06 J	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
46900	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
46900	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
46900	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46900	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46900	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46900	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46900	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46900	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46900	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46900	RUC	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46900	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46900	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	0
46900	RUC	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46900	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0
46900	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46900	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46900	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0
46900	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46900	RUC	"Pharmacy, Rx"	SH091	trichloroacetic acid 90% (sat soln)	ml	0.8712	2	0
46900	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46900	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46900	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46900	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
46910	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
46910	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46910	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46910	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46910	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46910	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46910	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
46910	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
46910	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46910	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46910	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46910	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	6	0
46910	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46910	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46910	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46910	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46910	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46910	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	0
46910	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46910	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46910	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46910	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46910	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46910	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46910	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46910	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46916	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46916	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46916	CMS	"Gown, Drape"	SB003	"cover, probe (cryosurgery)"	item	0.76	1	0
46916	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46916	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46916	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46916	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46916	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46916	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46916	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46916	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46916	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
46916	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46916	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46916	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46916	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46916	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46916	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46916	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46916	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46916	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46916	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46916	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46916	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46916	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46917	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46917	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46917	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46917	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46917	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46917	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46917	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46917	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46917	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46917	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46917	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46917	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	159.8875	1	0
46917	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
46917	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46917	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46917	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46917	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46917	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46917	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46917	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46917	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46917	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46917	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46917	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46917	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46917	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46922	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46922	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46922	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46922	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46922	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46922	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46922	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46922	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46922	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46922	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46922	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46922	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46922	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46922	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
46922	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46922	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46922	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46922	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46922	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46922	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46922	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46922	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46922	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46922	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46922	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46922	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46922	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46924	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
46924	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46924	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46924	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46924	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46924	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46924	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46924	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46924	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46924	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF029	"laser tip, bare (single use)"	item	159.8875	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
46924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
46924	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46924	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
46924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
46924	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46924	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46924	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46924	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46924	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46924	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
46924	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46924	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46924	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46924	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46924	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46930	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
46930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
46930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
46930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
46930	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46930	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46930	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46930	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46930	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46940	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
46940	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46940	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46940	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46940	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46940	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46940	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46940	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46940	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46940	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46940	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46940	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46940	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46940	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46940	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46940	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46940	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46940	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46940	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46940	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46940	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46940	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46940	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46940	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46940	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46940	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46942	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	0.5
46942	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46942	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
46942	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46942	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46942	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46942	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46942	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46942	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
46942	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	1	0
46942	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46942	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46942	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46942	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
46942	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46942	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46942	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46942	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
46942	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
46942	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
46942	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46942	CMS	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
46942	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
46942	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
46942	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	0
46942	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
46945	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46945	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
46945	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46945	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46945	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46945	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46945	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46945	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46945	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46945	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46945	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46945	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46945	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46945	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46945	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46945	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46945	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46945	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46945	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46945	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46945	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46945	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
46946	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
46946	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
46946	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
46946	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
46946	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
46946	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
46946	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
46946	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
46946	CMS	"Accessory, Procedure"	SD003	anoscope	item	1.0673	2	1
46946	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
46946	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
46946	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
46946	CMS	"Cutters, Closures, Cautery"	SF015	"cautery, monopolar, blade, extended shaft"	item	3.6398	1	0
46946	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
46946	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
46946	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	8	0
46946	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	0
46946	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
46946	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	8	4
46946	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	6	3
46946	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
46946	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
46947	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
46947	CPT05	"Accessory, Procedure"	SD003	anoscope	item	1.0673		1
46947	CPT05	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
46947	CPT05	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552		3
47000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47000	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
47000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47000	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	0
47000	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
47000	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
47000	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
47000	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
47000	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47000	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	10	0
47000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
47010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47010	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47010	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47010	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47010	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47010	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47010	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47010	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47010	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47010	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47010	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47015	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47015	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47015	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47015	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47015	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47015	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47015	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47015	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47015	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47015	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47015	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47015	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47100	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47100	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47100	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47100	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47100	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47100	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47100	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
47120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47120	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
47120	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47120	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47120	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47120	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		80
47120	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47120	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47120	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
47120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47122	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47122	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47122	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47122	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
47122	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47122	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47122	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47122	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		80
47122	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47122	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47122	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
47122	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47125	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47125	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47125	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47125	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
47125	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47125	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47125	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47125	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		80
47125	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47125	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47125	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
47125	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47130	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47130	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47130	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
47130	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47130	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47130	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47130	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		80
47130	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47130	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47130	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
47130	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47135	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		8
47135	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47140	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
47140	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
47141	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
47141	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
47142	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
47142	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
47300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47300	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47300	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47300	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47300	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47300	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47300	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47300	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47300	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47300	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47300	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47350	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47350	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47350	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47350	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47350	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47350	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47350	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47350	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47350	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47350	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47350	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47350	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47360	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47360	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47360	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47360	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47360	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47360	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47360	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47360	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47360	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47360	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47360	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47361	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47361	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47361	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47361	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47361	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47361	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47361	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47361	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47361	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47361	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47361	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47361	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47362	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47362	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47362	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47362	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47362	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47362	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47362	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47362	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47362	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47362	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47362	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47362	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47370	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47370	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47371	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47371	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47381	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47381	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47382	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
47382	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
47382	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47382	Mod sed	"Kit, Pack, Tray"	SA096	"kit, introducer, radiofrequency, XIi-enhanced RF probe"	kit	143.95	1	0
47382	Mod sed	"Kit, Pack, Tray"	SA100	"kit, probe, radiofrequency, XIi-enhanced RF probe"	kit	2209.605	1	0
47382	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
47382	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
47382	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
47382	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47382	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
47382	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47382	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
47382	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
47382	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
47382	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
47382	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47382	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
47382	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47382	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47382	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47382	Mod sed	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
47382	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47382	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
47382	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
47382	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
47382	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
47383	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47383	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
47383	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
47383	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
47383	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47383	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47383	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	4	0
47383	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47383	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47383	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
47383	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
47383	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
47383	Mod sed	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.6825	455	0
47383	Mod sed	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.3725	575	0
47383	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1173.805	4	0
47383	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
47383	Mod sed	"Wound Care, Dressings"	SG057	"gauze, x-ray detectable, sterile 4in x 4in (10 pack uou)"	item	1.7648	1	0
47383	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
47383	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47383	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47383	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47383	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47383	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
47383	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
47400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47400	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47400	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47400	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47400	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47400	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47400	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47400	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47400	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47400	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47400	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47420	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47420	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47420	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47420	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47420	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47420	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47420	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47420	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47420	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47425	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47425	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47425	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47425	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47425	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47425	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47425	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47425	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47425	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47425	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47460	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47460	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47460	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47460	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47460	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47460	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47460	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47460	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47460	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47460	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47480	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47480	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47480	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47480	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47480	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47480	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47480	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47480	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47480	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47480	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47480	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47490	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47490	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47490	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47490	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47490	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47490	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47490	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47490	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47490	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47490	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47490	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47490	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47531	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47531	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47531	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47531	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47531	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47531	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47531	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47531	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47531	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47531	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47531	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47531	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47531	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47531	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47531	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47531	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47531	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47531	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47531	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47531	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47531	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47531	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47531	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47531	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47531	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47532	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47532	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47532	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47532	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47532	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47532	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47532	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47532	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47532	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47532	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47532	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47532	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47532	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47532	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47532	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47532	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47532	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47532	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47532	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47532	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47532	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47532	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47532	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47532	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47532	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47532	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47532	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47532	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47532	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47532	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47532	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47533	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47533	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47533	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47533	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47533	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47533	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47533	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47533	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47533	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47533	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47533	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47533	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47533	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47533	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47533	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47533	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47533	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47533	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47533	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47533	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47533	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
47533	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47533	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47533	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47533	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47533	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
47533	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47533	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47533	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47533	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47533	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47533	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47533	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47533	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47533	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47533	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47533	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
47533	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47533	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47534	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47534	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47534	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47534	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47534	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47534	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47534	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47534	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47534	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47534	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47534	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47534	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47534	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47534	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47534	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47534	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47534	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47534	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47534	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47534	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47534	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
47534	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47534	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47534	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47534	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47534	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47534	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47534	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47534	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47534	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47534	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47534	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47534	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47534	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47534	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47534	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47534	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
47534	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47534	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47535	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47535	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
47535	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47535	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47535	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47535	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47535	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47535	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47535	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47535	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47535	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47535	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47535	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47535	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47535	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47535	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47535	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47535	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47535	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47535	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47535	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47535	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47535	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47535	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47535	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47535	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47535	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47535	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47535	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47535	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47535	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47535	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47535	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47535	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47536	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47536	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
47536	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47536	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47536	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47536	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47536	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47536	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47536	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47536	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47536	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47536	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47536	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47536	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47536	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47536	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47536	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47536	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47536	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47536	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47536	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47536	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47536	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47536	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47536	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47536	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47536	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47536	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47536	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47536	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47536	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47536	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47536	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47537	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
47537	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47537	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47537	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47537	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47537	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47537	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47537	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47537	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47537	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47537	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47537	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47537	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47537	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47537	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47537	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47537	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47537	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47537	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47537	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47537	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47537	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47537	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47537	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47537	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47537	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47537	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47538	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47538	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
47538	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47538	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47538	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47538	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47538	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47538	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47538	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47538	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47538	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47538	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47538	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47538	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47538	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47538	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47538	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47538	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47538	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47538	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47538	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47538	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47538	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47538	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47538	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
47538	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	2	0
47538	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47538	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47538	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47538	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2732.19	1	0
47538	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47538	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47538	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47538	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47538	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47538	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47538	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47538	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47539	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47539	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47539	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47539	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47539	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47539	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47539	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47539	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47539	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47539	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47539	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47539	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47539	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47539	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47539	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47539	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47539	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47539	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47539	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47539	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47539	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
47539	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47539	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47539	CMS	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47539	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47539	CMS	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
47539	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	2	0
47539	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47539	CMS	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47539	CMS	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2732.19	1	0
47539	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47539	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47539	CMS	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
47539	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47539	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47539	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47539	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47539	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47539	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47539	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47539	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47540	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47540	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47540	RUC	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47540	RUC	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47540	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47540	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47540	RUC	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47540	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47540	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47540	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47540	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47540	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47540	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47540	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47540	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47540	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47540	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47540	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47540	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47540	RUC	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
47540	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47540	RUC	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47540	RUC	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47540	RUC	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
47540	RUC	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47540	RUC	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
47540	RUC	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	2	0
47540	RUC	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
47540	RUC	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47540	RUC	"Accessory, Procedure"	SD312	Internal/external biliary catheter	Item	136.55	1	0
47540	RUC	"Accessory, Procedure"	SD313	Viabil covered biliary stent	Item	2732.19	1	0
47540	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47540	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47540	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47540	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47540	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47540	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47540	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47540	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47540	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47540	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47541	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
47541	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
47541	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
47541	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
47541	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
47541	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
47541	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
47541	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
47541	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
47541	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
47541	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
47541	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
47541	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
47541	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
47541	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
47541	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
47541	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
47541	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
47541	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
47541	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
47541	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
47541	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
47541	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
47541	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
47541	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
47541	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
47541	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
47541	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
47541	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
47541	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
47541	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
47541	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
47541	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
47541	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
47541	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
47542	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47542	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
47542	Mod sed	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	1	0
47542	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
47543	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47543	Mod sed	"Accessory, Procedure"	SD314	Radial Jaw	Item	94.2	1	0
47544	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
47544	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
47544	Mod sed	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	1	0
47544	Mod sed	"Accessory, Procedure"	SD315	Stone basket	Item	382.255	1	0
47562	CPT13 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
47562	CPT13 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47563	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
47563	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47564	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47564	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
47570	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47600	CPT13 May 45	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47600	CPT13 May 45	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47600	CPT13 May 45	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47600	CPT13 May 45	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
47600	CPT13 May 45	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
47605	CPT13 May 45	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47605	CPT13 May 45	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
47605	CPT13 May 45	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47605	CPT13 May 45	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
47605	CPT13 May 45	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
47610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
47610	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47610	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47610	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
47610	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
47610	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47610	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
47610	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47610	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47610	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47610	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47610	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47612	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
47612	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47612	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47612	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
47612	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
47612	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
47612	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47612	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47612	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47612	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47620	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
47620	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47620	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47620	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
47620	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
47620	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
47620	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47620	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47620	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47620	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
47700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47700	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47700	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47700	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47700	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47700	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47700	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47700	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47700	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47701	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
47701	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47701	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47701	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47701	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47701	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47701	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47701	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47701	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47701	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47701	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47701	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47711	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47711	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47711	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47711	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47711	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47711	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47711	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47711	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47711	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47711	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47711	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47711	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47712	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47712	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47712	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47712	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47712	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47712	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47712	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47712	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47712	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47712	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47712	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47715	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47715	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47715	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47715	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47715	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47715	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47715	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47715	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47715	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47715	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47715	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47715	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47720	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47720	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47720	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47720	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47720	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47720	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47720	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47720	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47720	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47721	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47721	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47721	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47721	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47721	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47721	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47721	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47721	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47721	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47721	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47721	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47721	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47740	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47740	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47740	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47740	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47740	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47740	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47740	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47740	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47740	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47740	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47741	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47741	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47741	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47741	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47741	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47741	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47741	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47741	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47741	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47741	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47741	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47741	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47760	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47760	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47760	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47760	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47760	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47760	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47760	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47760	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47760	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47760	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47765	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47765	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47765	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47765	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47765	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47765	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47765	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47765	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47765	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47765	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47765	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47765	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47780	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47780	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47780	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47780	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47780	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47780	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47780	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47780	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47780	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47780	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47780	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47780	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47785	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47785	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47785	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47785	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47785	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47785	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47785	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47785	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47785	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47785	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47785	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47785	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47800	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47800	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47800	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47800	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47800	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47800	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47800	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47800	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47800	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47800	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47800	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47801	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47801	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47801	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47801	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47801	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47801	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47801	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47801	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47801	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47801	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47801	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47801	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
47802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47802	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
47802	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
47802	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
47802	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47802	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
47802	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
47802	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
47802	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
47802	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47802	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
47900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
47900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
47900	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
47900	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
47900	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
47900	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
47900	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
47900	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
47900	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
47900	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
47900	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
47900	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
48000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48000	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48000	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48000	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48000	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48000	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48000	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48000	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48000	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48000	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48001	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48001	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48001	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48001	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48001	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48001	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48001	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48001	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48001	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48001	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48020	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48020	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48020	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48020	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48020	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48020	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48020	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48020	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48020	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
48100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48100	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48100	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48100	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48100	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48100	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48100	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48100	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48102	Feb05 O	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
48102	Feb05 O	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
48102	Feb05 O	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
48102	Feb05 O	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
48102	Feb05 O	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
48102	Feb05 O	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
48102	Feb05 O	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	0
48102	Feb05 O	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
48102	Feb05 O	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
48102	Feb05 O	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
48102	Feb05 O	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
48102	Feb05 O	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
48102	Feb05 O	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
48102	Feb05 O	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
48105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48105	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48105	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48105	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48105	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48105	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48105	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48105	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48105	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48105	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
48120	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48120	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48120	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48120	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48120	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48120	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48120	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48120	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48140	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48140	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48140	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48140	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48140	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48140	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48140	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48140	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48140	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48145	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48145	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48145	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48145	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48145	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48145	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48145	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48145	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48145	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48146	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
48146	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		12
48146	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		8
48146	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
48146	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		4
48146	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		80
48146	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		4
48146	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
48146	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
48146	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
48148	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48148	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48148	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48148	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48148	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48148	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48148	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48148	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48148	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48148	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48148	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48150	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48150	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
48150	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		15
48150	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
48150	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
48150	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		5
48150	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		100
48150	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
48150	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
48150	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		5
48150	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
48152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48152	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48152	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
48152	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		15
48152	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
48152	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
48152	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		5
48152	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		100
48152	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
48152	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
48152	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		5
48152	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
48153	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48153	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48153	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
48153	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		15
48153	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
48153	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
48153	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		5
48153	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		100
48153	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
48153	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
48153	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		5
48153	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
48154	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48154	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48154	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
48154	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		15
48154	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
48154	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
48154	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		5
48154	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		100
48154	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
48154	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
48154	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		5
48154	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
48155	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48155	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48155	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
48155	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		15
48155	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		10
48155	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
48155	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		5
48155	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		100
48155	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		5
48155	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		30
48155	Sep02	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		5
48155	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
48500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48500	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48500	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48500	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48500	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48500	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48500	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48500	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48500	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48500	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2
48510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48510	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48510	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48510	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48510	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48510	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48510	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48510	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48510	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48510	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48510	Sep02	"Pharmacy, NonRx"	SJ050	stoma pouch and wafer	item	8		2
48520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
48520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48520	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48520	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48520	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48520	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
48540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48540	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48540	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48540	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48540	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48545	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48545	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48547	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48547	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48547	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48547	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48547	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48547	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48547	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48547	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
48548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
48548	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
48548	Sep02	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415		2
48548	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
48548	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
48548	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
48548	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
48548	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		1
48548	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		6
48548	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
48554	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		10
48554	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
48556	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
48556	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49002	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49002	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
49020	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49040	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49060	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49062	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49062	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49082	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49082	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.269	1	0
49082	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
49082	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
49082	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49082	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49082	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	5	0
49083	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49083	CMS	"Kit, Pack, Tray"	SA070	"tray, thoracentesis"	tray	37.269	1	0
49083	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
49083	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
49083	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49083	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49083	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49083	CMS	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367	5	0
49083	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	30	0
49083	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
49083	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
49180	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
49180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
49180	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49180	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
49180	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
49180	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	0
49180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
49180	CMS	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
49180	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
49180	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
49180	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
49180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
49180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
49185	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49185	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
49185	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49185	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
49185	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
49185	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49185	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
49185	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
49185	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49185	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
49185	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49185	RUC	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
49185	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
49185	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
49185	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
49185	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49185	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49185	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
49185	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49185	RUC	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	300	0
49185	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49203	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49203	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49204	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49204	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49205	CPT08 29	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49205	CPT08 29	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49215	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
49220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49220	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49255	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49255	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49320	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49320	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49321	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49321	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49322	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49322	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49323	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49323	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49324	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49324	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49325	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49325	CPT07	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49400	CPT11 Letter	"Kit, Pack, Tray"	SA060	"tray, arthrogram"	tray	21.47	1	0
49400	CPT11 Letter	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
49400	CPT11 Letter	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49400	CPT11 Letter	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
49400	CPT11 Letter	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
49402	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49402	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49405	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49405	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
49405	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
49405	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49405	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
49405	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
49405	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
49405	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49405	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49405	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49405	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
49405	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49405	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49405	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
49405	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
49405	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49405	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
49405	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
49405	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
49405	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49405	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
49405	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49405	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
49405	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49405	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49405	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
49405	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	0
49405	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
49405	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49406	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49406	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
49406	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
49406	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49406	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
49406	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
49406	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
49406	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49406	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49406	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49406	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
49406	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49406	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49406	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
49406	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
49406	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49406	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
49406	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
49406	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
49406	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49406	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
49406	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49406	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
49406	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49406	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49406	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
49406	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	0
49406	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
49406	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49407	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49407	CMS	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
49407	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
49407	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49407	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
49407	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
49407	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
49407	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49407	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49407	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49407	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
49407	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49407	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49407	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
49407	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
49407	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49407	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
49407	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
49407	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
49407	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49407	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
49407	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49407	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
49407	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49407	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49407	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
49407	CMS	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	0
49407	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
49407	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49411	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49411	CMS	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
49411	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49411	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49411	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
49411	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
49411	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49411	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
49411	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49411	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49411	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
49411	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49411	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
49411	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
49411	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
49411	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
49411	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49411	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
49411	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
49411	CMS	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
49411	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
49411	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
49411	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49418	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49418	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
49418	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
49418	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
49418	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49418	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
49418	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
49418	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
49418	Mod sed	"Hypodermic, IV"	SC097	Peritoneal Dialysis Catheter	item	420	1	0
49418	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	1	0
49418	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49418	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49418	Mod sed	"Accessory, Procedure"	SD257	Tunneler	item		1	0
49418	Mod sed	"Accessory, Procedure"	SD259	Peritoneal Dialysis Sterile Solution (1500 ml)	item	6.77	1	0
49418	Mod sed	"Accessory, Procedure"	SD260	Y-set connection tubing	item	151.6925	1	0
49418	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
49418	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
49418	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	32	0
49418	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49418	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49418	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49418	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	0
49419	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49419	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
49419	Sep02	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885		1
49419	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		2
49419	Sep02	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075		1
49419	Sep02	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783		2
49423	Jan04 9	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
49423	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49423	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
49423	Jan04 9	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49423	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
49423	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49423	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
49423	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49423	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49423	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49423	Jan04 9	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
49423	Jan04 9	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
49423	Jan04 9	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49423	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49423	Jan04 9	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
49423	Jan04 9	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49423	Jan04 9	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
49423	Jan04 9	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
49423	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49423	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
49423	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
49423	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49423	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49423	Jan04 9	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49423	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49424	Jan04 9	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
49424	Jan04 9	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
49424	Jan04 9	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
49424	Jan04 9	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
49424	Jan04 9	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49424	Jan04 9	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
49424	Jan04 9	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
49424	Jan04 9	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
49424	Jan04 9	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
49424	Jan04 9	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
49424	Jan04 9	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
49424	Jan04 9	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
49424	Jan04 9	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
49424	Jan04 9	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
49424	Jan04 9	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
49424	Jan04 9	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
49424	Jan04 9	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
49424	Jan04 9	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49424	Jan04 9	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
49424	Jan04 9	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
49425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49426	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49426	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49428	Feb05 P	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49428	Feb05 P	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49429	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49429	Jan03	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49436	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49440	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49440	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49440	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49440	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
49440	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49440	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49440	Mod sed	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
49440	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49440	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49440	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49440	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49440	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49440	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49440	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49441	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49441	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49441	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49441	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
49441	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49441	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49441	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49441	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49441	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49441	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49441	Mod sed	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	95.6625	1	0
49441	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49441	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49441	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49442	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49442	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49442	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49442	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
49442	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49442	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49442	Mod sed	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
49442	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49442	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49442	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49442	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49442	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49442	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49442	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49446	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49446	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49446	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49446	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
49446	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49446	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49446	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49446	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49446	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49446	Mod sed	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49446	Mod sed	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	95.6625	1	0
49446	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49446	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49446	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49450	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49450	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49450	CMS	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
49450	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49450	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49450	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49450	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49450	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49450	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49450	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49451	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49451	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49451	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49451	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49451	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49451	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49451	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49451	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49451	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49451	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49451	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	95.6625	1	0
49451	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49451	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49451	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49452	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49452	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49452	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49452	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49452	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
49452	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49452	CMS	"Accessory, Procedure"	SC090	"tube, gastrostomy"	item	95.6825	1	0
49452	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49452	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49452	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49452	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49452	CMS	"Accessory, Procedure"	SD243	"tube, jejunostomy"	item	95.6625	1	0
49452	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49452	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
49452	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49460	CMS	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
49460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49460	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49460	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
49460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49460	CMS	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
49460	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
49460	CMS	"Accessory, Procedure"	SD174	"guidewire, steerable (Hi-Torque)"	item	77.6175	1	0
49460	CMS	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
49460	CMS	"Accessory, Procedure"	SD176	"guidewire, torque"	item	45.555	1	0
49460	CMS	"Accessory, Procedure"	SD206	"sheath, peel away"	item	62.4225	1	0
49460	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
49460	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	4	0
49460	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49465	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
49465	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
49465	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
49465	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
49465	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
49465	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
49465	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
49491	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49491	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
49492	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49492	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
49495	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
49495	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49496	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49496	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49505	Jan04 19	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49505	Jan04 19	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49507	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49507	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49521	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49521	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49525	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49553	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49555	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49557	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49557	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49560	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49561	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49561	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49565	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49566	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49570	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49572	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49572	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49582	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49582	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49585	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49587	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49587	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49590	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49600	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49605	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49610	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49611	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49611	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49651	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49651	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49652	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49652	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49653	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49653	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49654	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49654	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49655	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49655	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49656	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
49656	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49657	CPT09 15	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49657	CPT09 15	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
49900	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
49904	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
49904	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
49904	Sep02	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542		5
49904	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		5
49904	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		10
49904	Sep02	"Wound Care, Dressings"	SG040	"dressing, 5in x 9in (Adaptic)"	item	1.9985		5
50010	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50010	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50020	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50020	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50040	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50040	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50045	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50045	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50060	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50060	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50065	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50065	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50070	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50070	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50075	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50075	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50080	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50080	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50081	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50081	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50100	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50100	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50120	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50120	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50125	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50125	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50130	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50130	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50135	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50135	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50200	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50200	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
50200	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
50200	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50200	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50200	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50200	Mod sed	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
50200	Mod sed	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	0
50200	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
50200	Mod sed	"Hypodermic, IV"	SC033	"needle, biopsy, spring-loaded"	item	20.6325	1	0
50200	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
50200	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
50200	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50200	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	0
50200	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
50200	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50200	Mod sed	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.1875	3	0
50205	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
50205	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50220	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50220	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50225	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50225	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50230	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50230	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50234	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50234	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50236	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50236	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
50240	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50240	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50250	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50250	RUC05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50280	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50280	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50290	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50290	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50320	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
50320	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50340	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50340	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50360	CPT14 May 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50360	CPT14 May 34	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
50365	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		9
50365	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50370	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50370	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50380	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		9
50380	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50382	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
50382	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50382	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50382	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50382	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50382	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50382	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50382	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50382	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50382	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50382	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50382	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50382	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50382	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50382	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
50382	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50382	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50382	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50382	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	148.785	1	0
50382	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50382	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50382	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50382	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50382	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50382	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50382	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50382	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50384	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
50384	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50384	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50384	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50384	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50384	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50384	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50384	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50384	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50384	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50384	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50384	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50384	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50384	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50384	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
50384	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50384	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50384	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50384	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50384	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50384	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50384	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50384	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50384	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50384	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50384	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50385	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50385	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50385	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50385	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50385	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50385	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50385	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50385	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50385	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50385	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50385	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50385	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50385	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50385	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50385	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
50385	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50385	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50385	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50385	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	148.785	1	0
50385	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50385	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50385	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	4	0
50385	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50385	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50386	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50386	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50386	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50386	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50386	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50386	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50386	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50386	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50386	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50386	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50386	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50386	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50386	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50386	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50386	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
50386	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50386	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50386	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50386	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50386	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50386	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	4	0
50386	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50386	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50387	Mod sed	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
50387	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50387	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50387	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50387	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50387	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50387	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50387	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50387	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50387	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50387	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50387	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50387	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50387	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50387	Mod sed	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
50387	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50387	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50387	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50387	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50387	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50387	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50387	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50387	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50387	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50387	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50387	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50389	CMS	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
50389	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50389	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50389	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50389	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50389	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50389	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50389	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50389	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
50389	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50389	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50389	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50389	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50389	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50389	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
50389	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50389	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50389	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50389	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50389	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50389	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50389	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50389	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50389	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50389	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50389	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50391	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50391	CPT05	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
50391	CPT05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
50391	CPT05	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
50391	CPT05	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50391	CPT05	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
50391	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
50391	CPT05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
50391	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
50391	CPT05	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
50391	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
50400	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50400	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50405	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50405	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50430	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50430	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50430	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50430	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
50430	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50430	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
50430	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50430	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50430	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50430	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50430	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50430	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50430	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50430	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50430	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50430	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50430	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50430	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50430	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50430	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50430	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50430	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50430	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50430	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50430	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50430	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50430	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50430	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50431	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50431	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50431	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50431	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
50431	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50431	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50431	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50431	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50431	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
50431	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50431	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
50431	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50431	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50431	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50431	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50431	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50431	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50431	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50432	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50432	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50432	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50432	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
50432	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50432	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
50432	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50432	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50432	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50432	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50432	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50432	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50432	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50432	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50432	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50432	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
50432	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50432	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50432	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50432	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50432	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
50432	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50432	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50432	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50432	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50432	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50432	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50432	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
50432	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50432	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50432	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50432	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50432	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50432	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50432	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50432	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50432	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50433	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50433	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50433	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50433	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
50433	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50433	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
50433	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50433	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50433	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50433	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50433	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50433	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50433	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50433	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50433	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50433	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
50433	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50433	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50433	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50433	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50433	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
50433	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50433	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50433	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50433	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50433	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50433	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50433	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50433	Mod sed	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	114.4675	1	0
50433	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
50433	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50433	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50433	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50433	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50433	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50433	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50433	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50433	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50433	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50434	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50434	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50434	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50434	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50434	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50434	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50434	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50434	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50434	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50434	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50434	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50434	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50434	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50434	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50434	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50434	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50434	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50434	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50434	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50434	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50434	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50434	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50434	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50434	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50434	Mod sed	"Accessory, Procedure"	SD306	Nephroureteral Catheter	item	114.4675	1	0
50434	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50434	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50434	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50434	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50434	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50434	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50434	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50434	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50435	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50435	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50435	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
50435	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50435	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50435	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50435	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50435	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
50435	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50435	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
50435	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50435	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50435	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50435	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50435	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50435	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50435	CMS	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50435	CMS	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50435	CMS	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50435	CMS	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50435	CMS	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50435	CMS	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50435	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50435	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50435	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50435	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50435	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50435	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50435	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50435	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50500	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50500	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50520	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50520	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50525	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50525	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50526	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50526	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50540	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50540	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50541	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50541	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50542	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50542	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50543	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
50543	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50543	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
50544	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50544	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50545	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50545	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50546	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50546	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50547	Mar04 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50547	Mar04 T	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
50548	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50548	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50551	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50551	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50551	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50551	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50551	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50551	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50553	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50553	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50553	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50553	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50553	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50555	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50555	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50557	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50557	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50557	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50557	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50557	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50557	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50561	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50561	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50561	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50561	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50561	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50562	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50590	CPT13 May 46	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
50592	Mod sed	"Kit, Pack, Tray"	SA026	"kit, radiofrequency introducer"	kit	202.175	1	0
50592	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
50592	Mod sed	"Kit, Pack, Tray"	SA061	"tray, biopsy procedure"	tray	16.3825	1	0
50592	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50592	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50592	Mod sed	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
50592	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
50592	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50592	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50592	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
50592	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
50592	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50592	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
50592	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
50592	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
50592	Mod sed	"Accessory, Procedure"	SD109	"probe, radiofrequency, 3 array (StarBurstSDE)"	item	1892.665	1	0
50592	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
50592	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
50592	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50592	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
50592	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
50592	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50592	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50592	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50592	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50592	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
50592	Mod sed	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	0
50592	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50592	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
50593	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
50593	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50593	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50593	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50593	Mod sed	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50593	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
50593	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50593	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50593	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
50593	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
50593	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50593	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
50593	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50593	Mod sed	"Accessory, Procedure"	SD233	"probe, cryoablation, renal"	item	1173.805	2.5	0
50593	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
50593	Mod sed	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
50593	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
50593	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
50593	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
50593	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
50593	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50593	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50593	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50593	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50593	Mod sed	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
50593	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50600	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50600	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50605	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50605	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50606	Mod sed	"Accessory, Procedure"	SD008	"brush, ureteral"	item	45.0725	1	0
50606	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50606	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50606	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50610	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50610	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50620	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50620	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50630	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
50630	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50650	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50650	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50660	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50660	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50684	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50684	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50684	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50684	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
50684	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50684	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50684	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50684	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50684	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
50684	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
50684	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50684	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
50684	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
50684	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
50684	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50686	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50686	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50686	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50686	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50686	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50686	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
50686	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
50686	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	20.8163	1	0
50686	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50686	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
50686	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
50686	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50690	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
50690	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
50690	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50690	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
50690	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50690	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
50690	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50690	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50690	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
50690	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
50690	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
50690	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50693	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50693	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50693	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50693	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50693	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50693	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50693	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50693	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50693	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50693	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50693	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50693	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50693	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50693	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50693	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50693	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50693	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50693	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50693	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50693	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50693	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50693	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50693	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50693	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50693	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	148.785	1	0
50693	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50693	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50693	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50693	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50693	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50693	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50693	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50693	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50693	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50694	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50694	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50694	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50694	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
50694	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50694	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
50694	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50694	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50694	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50694	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50694	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50694	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50694	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50694	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50694	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50694	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
50694	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50694	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50694	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50694	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50694	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
50694	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50694	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50694	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50694	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50694	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	148.785	1	0
50694	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50694	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
50694	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50694	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50694	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50694	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50694	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50694	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50694	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50694	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50694	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50695	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
50695	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50695	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
50695	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
50695	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	4	0
50695	Mod sed	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
50695	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
50695	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
50695	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50695	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
50695	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
50695	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
50695	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	4	0
50695	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
50695	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
50695	Mod sed	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
50695	Mod sed	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
50695	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
50695	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
50695	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
50695	Mod sed	"Accessory, Procedure"	SD043	"dilator, vessel, angiographic"	item	6.71	2	0
50695	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
50695	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	0
50695	Mod sed	"Accessory, Procedure"	SD146	catheter percutaneous fastener (Percu-Stay)	item	11.7462	1	0
50695	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50695	Mod sed	"Accessory, Procedure"	SD161	"drainage catheter, all purpose"	item	88.4675	1	0
50695	Mod sed	"Accessory, Procedure"	SD163	"drainage pouch, nephrostomy-biliary"	item	12.46	1	0
50695	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	0
50695	Mod sed	"Accessory, Procedure"	SD218	"stent, ureteral, without guidewire"	item	148.785	1	0
50695	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50695	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
50695	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
50695	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
50695	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
50695	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
50695	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
50695	Mod sed	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50695	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
50695	Mod sed	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
50695	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
50700	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50700	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50705	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50705	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50705	Mod sed	"Cutters, Closures, Cautery"	SF057	Non-detachable embolization coil	item	192.6325	6	0
50706	Mod sed	"Accessory, Procedure"	SD019	"catheter, balloon, ureteral-GI (strictures)"	item	175.9775	1	0
50706	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
50706	Mod sed	"Accessory, Procedure"	SD149	"catheter, balloon inflation device"	item	37.015	1	0
50706	Mod sed	"Accessory, Procedure"	SD250	"introducer sheath, Ansel [45 cm 6 Fr Ansel]"	item	83.6125	1	0
50715	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50715	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50722	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50722	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50725	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50725	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50727	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50727	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50728	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50728	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50740	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50740	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50750	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50750	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50760	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50760	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50770	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50770	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50780	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50780	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50782	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50782	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50783	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50783	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50785	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50785	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50800	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50800	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50810	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4.5
50810	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50815	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50815	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50820	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
50820	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50825	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50825	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50830	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50830	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50840	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
50840	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50845	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
50845	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50860	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50860	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50900	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50900	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50920	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50920	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50930	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50930	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50940	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50940	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50945	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50945	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50947	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
50947	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50948	Aug03 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
50948	Aug03 6	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
50951	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50951	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50951	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50951	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50951	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50951	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50953	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50953	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50953	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50953	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50953	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50953	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50955	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50955	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50955	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50955	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50955	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50955	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50957	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50957	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50957	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50957	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50957	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50957	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
50961	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
50961	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
50961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
50961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
50961	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
50961	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
51020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51020	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51020	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51030	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51030	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51040	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51040	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
51045	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51045	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51045	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51045	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51050	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51050	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51050	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51050	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
51060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51060	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51060	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51060	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51065	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51065	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51065	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51065	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51080	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51080	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51080	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51100	Feb05 H	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51100	Feb05 H	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
51100	Feb05 H	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
51100	Feb05 H	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51100	Feb05 H	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51100	Feb05 H	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51100	Feb05 H	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
51100	Feb05 H	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51100	Feb05 H	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51100	Feb05 H	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
51100	Feb05 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
51100	Feb05 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
51100	Feb05 H	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
51101	Feb05 H	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	39.2325	1	0
51101	Feb05 H	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
51101	Feb05 H	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51101	Feb05 H	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
51101	Feb05 H	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
51101	Feb05 H	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51101	Feb05 H	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51101	Feb05 H	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51101	Feb05 H	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
51101	Feb05 H	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51101	Feb05 H	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51101	Feb05 H	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	11.5175	1	0
51101	Feb05 H	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
51101	Feb05 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
51101	Feb05 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51101	Feb05 H	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51102	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0	1
51102	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
51102	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
51102	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
51102	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
51102	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51102	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51102	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51102	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
51102	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51102	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51102	RUC	"Accessory, Procedure"	SD034	"catheter, ureteral, Stamey open-tip"	item	30.6	1	0
51102	RUC	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	11.5175	1	0
51102	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
51102	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
51102	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
51102	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
51102	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51500	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
51500	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
51500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
51520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51520	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51525	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51525	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51525	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51525	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51530	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51550	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51555	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51555	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
51565	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51565	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51565	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
51570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51570	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51570	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51570	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51575	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51575	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51575	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
51580	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51580	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51580	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51585	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
51585	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51585	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51585	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51590	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51590	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51590	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51595	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51595	Sep02	"Pharmacy, NonRx"	SJ049	stoma adhesive	oz	4.38		0.3
51595	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
51596	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51596	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
51597	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
51597	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51597	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51600	Oct00	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
51600	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
51600	Oct00	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
51600	Oct00	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
51600	Oct00	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
51600	Oct00	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
51600	Oct00	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
51600	Oct00	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
51600	Oct00	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
51600	Oct00	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	2	0
51600	Oct00	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51600	Oct00	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
51600	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
51610	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51610	Jan03	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
51610	Jan03	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51610	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
51610	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
51700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51700	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
51700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
51700	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51700	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51700	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
51700	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51700	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
51700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51700	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51701	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
51701	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
51701	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51701	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51701	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51701	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51701	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51701	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
51701	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51701	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51702	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
51702	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
51702	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51702	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51702	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51702	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51702	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51702	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51702	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
51702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51702	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51703	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
51703	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
51703	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
51703	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
51703	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
51703	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51703	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51703	RUC	"Accessory, Procedure"	SD014	catheter stylet	item	14.7085	1	0
51703	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51703	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
51703	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51703	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51705	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51705	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51705	CPT12 5 Year	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51705	CPT12 5 Year	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
51705	CPT12 5 Year	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51705	CPT12 5 Year	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	0
51705	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	0
51705	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
51705	CPT12 5 Year	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
51705	CPT12 5 Year	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	30	0
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	0
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
51705	CPT12 5 Year	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
51710	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
51710	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
51710	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51710	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51710	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51710	RUC	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
51710	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
51710	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
51710	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
51710	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	3	0
51710	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
51710	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
51715	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
51715	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51715	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
51715	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
51715	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
51715	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
51720	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
51720	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
51720	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
51720	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
51720	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
51720	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
51720	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
51720	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
51720	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
51720	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
51720	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
51720	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
51725	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51725	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51725	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51725	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51725	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	20.8163	1	
51725	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
51725	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	1.8725	1	
51725	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	3	
51725	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51725	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51726	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51726	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51726	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51726	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51726	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51726	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
51726	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
51726	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
51726	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	15.1373	1	
51726	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	1	
51726	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6625	1	
51726	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	2	
51726	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51726	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51727	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51727	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51727	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51727	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
51727	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
51727	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51727	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
51727	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
51727	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	
51727	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	24.4413	1	
51727	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	15.1373	1	
51727	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	
51727	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	3	
51727	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	2	
51727	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6625	1	
51727	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	3	
51727	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	2	
51727	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51727	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	
51727	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
51727	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51727	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5	
51727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
51727	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	
51728	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51728	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51728	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51728	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
51728	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
51728	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51728	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
51728	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
51728	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	
51728	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	24.4413	1	
51728	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	15.1373	1	
51728	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	
51728	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	2	
51728	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6625	1	
51728	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	3	
51728	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	2	
51728	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51728	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	
51728	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
51728	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51728	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5	
51728	CMS	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	
51728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
51728	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	
51729	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51729	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51729	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51729	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51729	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
51729	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
51729	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51729	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
51729	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
51729	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	
51729	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	24.4413	1	
51729	CMS	"Accessory, Procedure"	SD027	"catheter, pressure, urodynamic"	item	15.1373	1	
51729	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	
51729	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	3	
51729	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	2	
51729	CMS	"Accessory, Procedure"	SD128	"tubing, for pump head"	item	4.6625	1	
51729	CMS	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	3	
51729	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	2	
51729	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51729	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	
51729	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
51729	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51729	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	5	
51729	CMS	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	
51729	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
51729	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	
51736	RUC	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	
51741	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.1003	1	
51741	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
51741	RUC	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	
51741	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
51741	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
51784	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51784	RUC	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	3	
51784	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51784	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
51784	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51785	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51785	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51785	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51785	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51785	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.01	2	
51785	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	1	
51785	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51785	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
51785	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51792	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51792	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
51792	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	
51792	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
51792	RUC	"Hypodermic, IV"	SC048	spinal manometer	item	20.8163	1	
51792	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
51792	RUC	"Accessory, Procedure"	SD012	catheter adapter	item	1.8725	1	
51792	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
51792	RUC	"Accessory, Procedure"	SD056	"electrode, EMG sponge"	item	8.9928	1	
51792	RUC	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	3	
51792	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
51797	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
51797	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	
51797	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	
51797	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
51797	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
51797	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
51797	CMS	"Accessory, Procedure"	SD017	"catheter, balloon, rectal pressure"	item	24.4413	1	
51797	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	1	
51797	CMS	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
51797	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
51798	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
51798	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	10	
51798	RUC	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.1003	1	
51798	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
51798	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
51798	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
51800	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51800	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51800	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51800	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51820	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
51820	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
51840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51840	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2.5
51840	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51840	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1.5
51841	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51841	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2.5
51841	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51841	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1.5
51845	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51845	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51845	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
51865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51865	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
51880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51880	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51880	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51880	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
51900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51900	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
51900	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51920	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51920	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51925	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		4
51925	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51925	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
51940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51940	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51940	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
51960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
51960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51960	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51960	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
51980	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
51980	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
51980	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
51980	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
51990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51990	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
51990	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		8
51990	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
51992	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
51992	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
51992	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		8
51992	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
52000	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
52000	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52000	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52000	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
52000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
52000	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52000	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52000	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	3	0
52000	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
52001	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52001	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52001	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52001	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52001	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
52001	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52001	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	3	0
52001	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52001	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
52005	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52005	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52005	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52005	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52005	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52005	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52005	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52005	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52007	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52007	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
52007	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52007	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52007	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52007	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52007	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52007	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52007	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
52007	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	10.08	1	0
52007	CMS	"Accessory, Procedure"	SD167	endoscopic deflecting brush	item	75.055	1	0
52010	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52010	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
52010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52010	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52010	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52010	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52010	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52010	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52010	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
52010	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	10.08	1	0
52204	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52204	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52204	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52204	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52204	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52204	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
52204	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
52204	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52204	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	104.14	1	0
52204	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
52204	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
52214	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
52214	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52214	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52214	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52214	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
52214	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
52214	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52214	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
52214	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52214	RUC	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52214	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52214	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
52214	RUC	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	309.9975	1	0
52214	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	50	0
52214	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
52214	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
52214	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
52224	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
52224	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52224	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52224	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52224	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52224	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
52224	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52224	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
52224	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52224	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52224	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52224	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
52224	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	309.9975	1	0
52224	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
52224	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
52224	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
52224	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	3	0
52224	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
52265	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52265	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52265	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52265	RUC	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	104.14	1	0
52265	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
52265	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
52270	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52270	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52270	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52270	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52270	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52270	CMS	"Cutters, Closures, Cautery"	SF045	"blade, urethrotome"	item	86.8625	1	0
52275	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52275	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52275	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52275	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52275	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52275	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52275	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52275	CMS	"Accessory, Procedure"	SD074	filiform	item	23.2825	1	0
52275	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	104.14	1	0
52275	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
52275	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
52281	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52281	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52281	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52281	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52281	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52281	RUC	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
52281	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52283	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52283	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52283	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52283	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52283	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52283	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
52283	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
52283	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52285	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52285	RUC	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52285	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52285	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52285	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52287	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
52287	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52287	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52287	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52287	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
52287	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
52287	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
52287	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	0
52287	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
52287	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52287	CMS	"Hypodermic, IV"	SC099	"needle, cystoscope"	item	31.5675	1	0
52287	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
52287	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	50	0
52287	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	3	0
52287	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
52287	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
52287	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
52310	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52310	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52310	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52310	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52310	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52315	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52315	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
52315	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52315	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52315	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52315	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52315	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
52317	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52317	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52317	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52317	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52317	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52317	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52317	CMS	"Cutters, Closures, Cautery"	SF028	laser tip (single use)	item	309.9975	1	0
52317	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
52330	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52330	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52330	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52330	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52330	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52330	CMS	"Accessory, Procedure"	SD015	catheter tip adapter	item	1.006	1	0
52330	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52330	CMS	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
52330	CMS	"Accessory, Procedure"	SD150	"catheter, balloon ureteral (Dowd)"	item	86.04	1	0
52330	CMS	"Accessory, Procedure"	SD157	"catheter, ureteral, acorn tip"	item	10.08	1	0
52332	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52332	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52332	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52332	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52332	CMS	"Accessory, Procedure"	SD033	"catheter, ureteral, open-ended"	item	13.8275	1	0
52332	CMS	"Accessory, Procedure"	SD239	"stent, ureteral, w-guidewire, 3cm flexible tip"	item	204.945	1	0
52400	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
52441	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
52441	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
52441	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52441	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52441	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
52441	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
52441	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
52441	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
52441	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
52441	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
52441	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
52441	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
52441	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
52441	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
52441	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
52441	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
52441	CMS	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
52441	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52441	CMS	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
52441	CMS	"Accessory, Procedure"	SD291	Urolift Implant and implantation device		794.945	1	0
52441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	50	0
52441	CMS	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	3	0
52441	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
52441	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
52441	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
52441	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
52442	RUC	"Accessory, Procedure"	SD291	Urolift Implant and implantation device		794.945	1	0
52450	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
52500	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
52601	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
52601	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		1
52601	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
52601	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432		1
52601	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905		1
52601	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425		1
52630	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
52640	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
52647	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
52647	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
52647	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52647	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52647	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	1	0
52647	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52647	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
52647	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
52647	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
52647	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
52647	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
52647	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52647	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	0
52647	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	4.6928	1	0
52647	CMS	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	699.375	1	0
52647	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
52647	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
52647	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
52647	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	2	0
52647	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52647	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
52648	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
52648	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
52648	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
52648	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
52648	CMS	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
52648	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	1	0
52648	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
52648	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
52648	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
52648	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
52648	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
52648	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
52648	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
52648	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	0
52648	CMS	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	4.6928	1	0
52648	CMS	"Cutters, Closures, Cautery"	SF030	"laser tip, diffuser fiber"	item	699.375	1	0
52648	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
52648	CMS	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
52648	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	0
52648	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	2	0
52648	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
52648	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
52649	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
52649	CPT12 5 Year	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173		1
52649	CPT12 5 Year	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.1003		2
52649	CPT12 5 Year	Lab	SL018	"beaker, 250 ml"	item	0.7505		1
52649	CPT12 5 Year	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335		1
52649	CPT12 5 Year	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		1
52700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
53000	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53010	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53010	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
53040	Mar04 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53040	Mar04 E	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
53060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
53060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
53060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
53080	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53080	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53080	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3
53080	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53085	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53085	Sep02	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498		3
53085	Sep02	"Wound Care, Dressings"	SG065	"packing, gauze w-iodoform 1in (5 yd uou)"	item	5.215		1
53085	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3
53085	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
53210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53210	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53215	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53215	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53220	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53220	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53230	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53230	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53235	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53235	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53240	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53240	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53240	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53240	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53250	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
53260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
53260	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53260	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
53260	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53260	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
53265	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
53265	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
53265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53265	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
53265	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53265	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
53265	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
53265	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
53265	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
53270	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
53270	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53270	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	0
53270	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53270	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
53275	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
53275	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53400	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53400	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53405	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53405	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53405	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53410	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53410	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53415	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53415	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53420	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53420	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53425	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53430	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53430	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53431	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53431	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53431	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53431	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53440	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53440	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53442	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
53442	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53444	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53444	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53445	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
53445	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53445	Feb08 ss	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
53446	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53446	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		2
53447	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53447	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		2
53448	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53448	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		2
53449	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53449	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
53449	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53450	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53460	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53500	Sep02	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195		1
53500	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		3
53500	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		3
53502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53502	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
53502	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
53505	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53505	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53510	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53515	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53515	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53515	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
53520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
53520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
53600	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53600	Oct00	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
53600	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53600	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53600	Oct00	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53600	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
53600	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53600	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53600	Oct00	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
53600	Oct00	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53601	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53601	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
53601	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53601	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53601	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53601	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
53601	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53601	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53601	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
53601	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53620	Oct00	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53620	Oct00	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
53620	Oct00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53620	Oct00	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53620	Oct00	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
53620	Oct00	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
53620	Oct00	"Accessory, Procedure"	SD074	filiform	item	23.2825	1	0
53620	Oct00	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53620	Oct00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53620	Oct00	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.67	0
53620	Oct00	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53621	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53621	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
53621	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53621	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53621	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
53621	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
53621	RUC	"Accessory, Procedure"	SD074	filiform	item	23.2825	1	0
53621	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53621	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53621	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.67	0
53621	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53660	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53660	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
53660	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53660	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53660	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53660	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
53660	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
53660	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53660	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53660	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
53660	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53661	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
53661	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
53661	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
53661	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
53661	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
53661	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
53661	RUC	"Accessory, Procedure"	SD030	"catheter, straight"	item	1.965	1	0
53661	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
53661	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
53661	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
53661	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
53850	RUC	"Kit, Pack, Tray"	SA036	"kit, transurethral microwave thermotherapy"	kit	1000	1	0
53850	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
53850	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
53850	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
53850	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
53850	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
53850	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	1	0
53850	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
53850	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
53850	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53850	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
53850	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
53850	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
53850	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
53850	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
53850	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
53850	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
53850	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
53850	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	50.4075	1	0
53850	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
53850	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	30	0
53850	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
53850	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
53850	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
53850	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	6	0
53850	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0
53850	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	0
53850	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
53852	RUC	"Kit, Pack, Tray"	SA037	"kit, transurethral needle ablation (TUNA)"	kit	900	1	0
53852	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
53852	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	0
53852	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
53852	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
53852	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
53852	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
53852	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
53852	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	1	0
53852	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
53852	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
53852	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53852	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
53852	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
53852	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
53852	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
53852	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
53852	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
53852	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
53852	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
53852	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	4.6928	1	0
53852	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	50.4075	1	0
53852	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
53852	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	30	0
53852	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
53852	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
53852	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
53852	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	6	0
53852	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0
53852	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	0
53852	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
53855	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
53855	CMS	"Kit, Pack, Tray"	SA101	"kit, stent, urethral, prostatic, insertion tool and surveyor"	kit	559.335	1	0
53855	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
53855	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
53855	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
53855	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53855	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
53855	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
53855	CMS	"Accessory, Procedure"	SD074	filiform	item	23.2825	1	0
53855	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
53855	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
53855	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
53855	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
53860	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	0
53860	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
53860	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
53860	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
53860	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
53860	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
53860	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
53860	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
53860	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
53860	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	3	0
53860	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
53860	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	6	0
53860	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
53860	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
53860	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	0
53860	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
53860	CMS	"Accessory, Procedure"	SD245	Renessa probe	item	1372.955	1	0
53860	CMS	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	0
53860	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
53860	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
53860	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
53860	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
53860	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
53860	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
53860	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	1	0
53860	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
53860	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.21	1	0
53860	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
53860	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
53860	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	0
538X3	RUC	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
538X3	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	0
538X3	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
538X3	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
538X3	RUC	"Kit, Pack, Tray"	SA128	"kit, Rezum delivery device"	item	1150	1	0
538X3	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
538X3	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
538X3	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
538X3	RUC	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	1	0
538X3	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
538X3	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	0
538X3	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
538X3	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
538X3	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
538X3	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
538X3	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
538X3	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
538X3	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
538X3	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
538X3	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
538X3	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	4.6928	1	0
538X3	RUC	"Accessory, Procedure"	SD271	Rectal probe	item	50.4075	1	0
538X3	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
538X3	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	30	0
538X3	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
538X3	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
538X3	RUC	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
538X3	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	6	0
538X3	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	0
538X3	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	0
538X3	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	0
54000	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
54000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54000	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
54000	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54000	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54000	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54000	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54000	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54000	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54000	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54000	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54001	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
54001	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54001	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
54001	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54001	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54001	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54001	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
54001	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54001	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54001	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54001	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54001	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
54001	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54001	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54015	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54015	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54050	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
54050	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
54050	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54050	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
54050	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
54050	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54050	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54050	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54050	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54050	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
54050	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54055	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54055	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
54055	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54055	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
54055	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
54055	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54055	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54055	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54055	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54055	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
54055	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54056	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
54056	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54056	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
54056	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54056	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54056	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
54056	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54056	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	30	0
54056	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54056	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
54056	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54056	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54056	RUC	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
54056	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54057	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54057	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54057	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
54057	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54057	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54057	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
54057	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54057	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54057	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
54057	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54057	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54057	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
54057	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54060	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
54060	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54060	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
54060	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54060	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
54060	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54060	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54060	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54060	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
54060	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54060	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54060	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54060	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54060	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54060	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
54060	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54060	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54060	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
54065	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54065	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
54065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54065	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54065	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
54065	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54065	CMS	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	1	0
54065	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
54065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
54065	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54065	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54100	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
54100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
54100	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
54100	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
54100	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54100	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54100	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
54100	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54100	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
54100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54100	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
54100	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54105	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54105	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
54105	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
54105	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54105	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54105	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54105	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
54105	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
54105	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54105	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54105	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
54105	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
54105	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54105	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54110	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
54110	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54111	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
54111	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54112	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54112	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54115	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3.5	2.5
54115	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
54115	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
54115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
54115	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
54115	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
54115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
54120	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
54120	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54125	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
54125	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54130	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
54130	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54135	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3.5
54135	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54150	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
54150	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	24.7644	1	0
54150	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
54150	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
54150	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
54150	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	0
54150	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	2	0
54150	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
54160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54160	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	24.7644	1	0
54160	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54160	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54160	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54160	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
54160	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	0
54161	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54161	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
54161	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		1
54162	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54162	CMS	"Kit, Pack, Tray"	SA086	"tray, circumcision"	tray	24.7644	1	0
54162	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54162	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
54162	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54162	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
54162	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	0
54163	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54163	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54164	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54164	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
54200	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54200	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54200	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54200	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54200	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
54200	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
54200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
54200	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54200	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54205	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54205	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54205	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54205	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54220	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
54220	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
54220	CMS	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
54220	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
54220	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54220	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
54220	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
54220	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
54220	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54220	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54220	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
54220	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
54220	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
54220	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
54220	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54220	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
54220	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
54220	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54220	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
54220	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54230	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
54230	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
54230	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54230	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
54230	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54230	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
54230	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
54231	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
54231	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1.5	0
54231	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54231	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54231	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
54231	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54235	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
54235	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
54235	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
54235	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
54240	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
54240	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
54240	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
54240	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	
54250	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
54300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54300	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54304	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54304	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54304	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54308	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54308	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54308	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54312	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54312	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54316	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54316	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54316	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54316	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54318	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54318	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54318	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54322	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54322	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54324	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54324	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54324	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54326	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54326	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54326	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54326	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54328	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54328	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54328	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54328	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54332	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54332	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54332	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54336	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54336	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54336	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54336	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		35
54340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54340	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54340	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54340	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54344	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54344	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54344	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54344	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54348	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54348	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54348	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54348	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54352	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54352	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54352	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54352	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		35
54360	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54360	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54360	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54380	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54380	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54380	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54385	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54385	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54385	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54390	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54390	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54390	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		30
54400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54400	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54400	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54401	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
54401	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54401	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54405	Apr08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54405	Apr08	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54405	Apr08	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
54406	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54406	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54408	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54408	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54410	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54410	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54411	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54411	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54415	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54415	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54416	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54416	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54417	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54417	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54420	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54420	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54420	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54420	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54430	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54430	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54430	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54430	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54435	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54435	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54435	Sep02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783		2
54435	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54437	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54438	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54438	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
54450	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
54505	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54505	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54505	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
54512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54512	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54512	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54512	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		10
54520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54520	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54522	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54522	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
54522	Sep02	"Wound Care, Dressings"	SG071	scrotal support	item	6.695		1
54522	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		10
54530	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54530	Feb08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54530	Feb08 ss	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54530	Feb08 ss	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54535	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54535	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54550	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54550	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54550	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54560	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54560	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54560	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54560	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54600	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54600	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54620	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54620	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54620	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		1
54640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54640	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54640	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54640	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54650	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54650	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54650	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54660	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54660	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54660	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54670	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54670	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54670	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54680	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54680	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54680	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54690	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54690	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54690	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54692	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54692	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54700	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
54700	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
54830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54830	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54830	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54830	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54840	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54840	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54840	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54860	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54861	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54861	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54861	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
54865	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
54900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
54900	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54900	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54900	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
54901	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
54901	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
54901	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
54901	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
55000	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	0
55000	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
55000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
55000	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
55000	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
55000	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
55000	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
55000	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
55000	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
55000	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
55000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
55000	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
55000	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
55040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55040	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55040	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55040	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55041	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55041	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55041	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55041	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55060	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55060	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55060	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55060	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55100	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
55100	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
55100	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
55100	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
55100	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
55100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
55100	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
55100	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
55100	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
55100	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
55100	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
55100	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
55100	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
55100	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
55100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
55100	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
55100	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
55100	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
55100	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	0
55110	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55110	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55120	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55120	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55150	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
55150	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55175	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55175	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55180	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55180	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
55200	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
55200	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
55200	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
55200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
55200	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
55200	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
55200	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	104.14	1	0
55200	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
55200	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
55200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
55250	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
55250	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
55250	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
55250	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
55250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
55250	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
55250	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
55250	CMS	"Accessory, Procedure"	SD164	"electrode, Bugbee"	item	104.14	1	0
55250	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
55250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
55250	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	30	0
55400	Mar04 V	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
55400	Mar04 V	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55500	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55500	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55500	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55520	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55520	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55520	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55530	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55530	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55530	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55535	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55535	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55535	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55540	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55540	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55540	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55550	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
55550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
55600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55600	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55600	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55605	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55605	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55605	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55650	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55650	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55650	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55680	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
55680	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55680	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
55700	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
55700	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
55700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
55700	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	3	0
55700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
55700	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
55700	CMS	"Hypodermic, IV"	SC032	"needle, biopsy for breast-prostate core sample"	item	29.615	1	0
55700	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
55700	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
55700	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
55700	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	50	0
55700	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
55700	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
55700	CMS	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.5998	6	0
55700	CMS	Lab	SL072	formalin	ml	0.009	708	0
55700	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	0
55705	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
55705	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55706	CPT09 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55706	CPT09 16	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
55720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55720	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55720	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55725	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55725	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55725	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
55801	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
55801	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55801	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
55810	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55810	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55810	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55810	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55812	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
55812	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55812	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55812	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55815	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
55815	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55815	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55815	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55821	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55831	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55831	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55831	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55840	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55840	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55840	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55840	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55840	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		3
55842	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55842	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55842	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55842	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55842	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		3
55845	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55845	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55845	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
55845	RUC	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55845	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		3
55860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55860	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55860	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55860	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55862	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55862	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55862	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55865	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
55865	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55865	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55865	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		25
55866	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55866	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
55870	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
55870	Jan03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
55873	CMS	"Kit, Pack, Tray"	SA006	"kit, catheter, suprapubic"	kit	39.2325	1	0
55873	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
55873	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
55873	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
55873	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
55873	CMS	"Kit, Pack, Tray"	SA099	"Kit, probe, cryoablation, prostate (Galil-Endocare)"	kit	3909.89	1	0
55873	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
55873	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
55873	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	2	0
55873	CMS	"Gown, Drape"	SB017	"drape-sleeve, sterile (4in x 8ft)"	item	0.1693	2	0
55873	CMS	"Gown, Drape"	SB018	"drape-sleeve, sterile, for handpiece"	item	0.1018	1	0
55873	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
55873	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	8	0
55873	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
55873	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
55873	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
55873	CMS	"Accessory, Procedure"	SD074	filiform	item	23.2825	1	0
55873	CMS	"Accessory, Procedure"	SD079	"gas, helium"	cu ft	0.6825	473	0
55873	CMS	"Accessory, Procedure"	SD088	guidewire	item	11.461	1	0
55873	CMS	"Accessory, Procedure"	SD227	"gas, argon"	cu ft	0.3725	523	0
55873	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
55873	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
55873	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0
55873	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
55873	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	2	0
55873	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
55873	CMS	"Pharmacy, NonRx"	SJ031	leg or urinary drainage bag	item	3.3493	1	0
55873	CMS	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	50	0
55873	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
55873	CMS	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.1275	1	0
55873	CMS	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
55873	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
55874	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
55874	RUC	"Kit, Pack, Tray"	SA126	Biodegradable Material Kit - PeriProstatic	item	2850	1	0
55874	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
55874	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
55874	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
55874	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	5	0
55874	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
55874	RUC	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
55874	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
55874	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	0
55874	RUC	"Accessory, Procedure"	SD325	Endocavity Balloon	item	39.9	1	0
55874	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
55874	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
55874	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	0
55874	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
55874	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
55874	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
55874	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	10	0
55874	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	0
55874	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	0
55875	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
55875	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
55875	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
55875	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
55876	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	0
55876	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
55876	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	2	0
55876	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
55876	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
55876	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
56405	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
56405	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	1
56405	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
56405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
56405	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56405	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56405	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
56405	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
56405	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
56405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
56405	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
56405	RUC	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
56420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
56420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
56420	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
56420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
56420	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
56420	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	45	0
56420	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
56440	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
56440	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
56441	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
56441	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	1
56441	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
56441	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
56441	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56441	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
56441	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
56441	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56441	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
56441	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
56441	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
56441	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
56441	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
56441	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
56501	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
56501	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
56501	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
56501	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
56501	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
56501	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56501	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
56501	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
56501	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56501	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
56501	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.1857	1	0
56501	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
56501	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
56501	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
56501	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
56515	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
56515	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
56515	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
56515	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
56515	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
56515	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56515	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
56515	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
56515	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56515	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
56515	CMS	"Pharmacy, Rx"	SH064	silver sulfadiazene cream (Silvadene)	gm	0.1857	1	0
56515	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
56515	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
56515	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
56515	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
56605	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
56605	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
56605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
56605	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56605	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
56605	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
56605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
56605	RUC	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
56605	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
56606	Mar02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
56606	Mar02	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
56606	Mar02	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
56606	Mar02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
56606	Mar02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
56606	Mar02	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
56620	Feb08	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
56620	Feb08	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		4
56620	Feb08	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56620	Feb08	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
56620	Feb08	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
56625	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
56625	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
56625	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56625	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
56625	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
56630	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
56630	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
56630	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56630	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
56630	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56630	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56630	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56630	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		16
56631	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
56631	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
56631	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56631	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
56631	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56631	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56631	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56631	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		24
56632	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
56632	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		5
56632	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56632	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		5
56632	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56632	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56632	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56632	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		24
56633	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
56633	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
56633	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56633	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
56633	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56633	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56633	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56633	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		16
56634	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
56634	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
56634	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56634	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
56634	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56634	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56634	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56634	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		24
56637	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
56637	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
56637	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
56637	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56637	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56637	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56637	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		24
56640	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
56640	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
56640	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
56640	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
56640	Sep02	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025		1
56640	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
56640	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		24
56700	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
56700	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
56700	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
56700	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
56700	Apr07 T	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		1
56700	Apr07 T	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
56700	Apr07 T	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
56700	Apr07 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
56700	Apr07 T	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
56740	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
56740	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
56740	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
56740	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
56740	Apr07 T	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		1
56740	Apr07 T	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
56740	Apr07 T	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
56740	Apr07 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
56740	Apr07 T	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
56800	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
56800	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
56800	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
56805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
56805	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
56805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
56805	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
56805	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
56810	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
56810	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
56810	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
56820	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
56820	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
56820	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
56820	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56820	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
56820	RUC	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
56821		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
56821		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
56821		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
56821		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
56821		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
56821		"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
56821		"Hypodermic, IV"	SC046	"punch, biopsy"	item	2.0885	1	0
56821		"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
56821		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
56821		"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
56821		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
56821		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
56821		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
56821		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
56821		Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
56821		Infection Control	SM002	autoclave bag	item	0.07	2	0
56821		Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57000	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
57000	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
57000	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
57010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57010	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57010	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57010	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57010	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57020	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57020	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57020	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57020	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57020	Jan03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57020	Jan03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57022	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
57022	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
57022	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
57023	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
57023	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
57023	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
57061	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
57061	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57061	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57061	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57061	RUC	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57061	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57061	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
57061	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57061	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57061	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
57061	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
57061	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57061	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57061	RUC	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57065	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57065	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57065	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57065	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57065	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57065	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
57065	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57065	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57065	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
57065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
57065	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57065	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57065	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57100	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
57100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
57100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
57100	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57105	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57105	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57105	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	1
57105	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	1
57105	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57105	Mar03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
57105	Mar03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
57105	Mar03	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
57105	Mar03	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	2
57105	Mar03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	12
57105	Mar03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	10
57105	Mar03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
57105	Mar03	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	1
57105	Mar03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57106	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57106	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57106	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57106	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57106	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57107	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57107	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57107	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57107	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57107	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57109	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57109	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57109	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57109	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57109	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57110	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57110	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57110	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57110	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57110	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57111	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57111	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57111	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57111	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57111	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57112	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57112	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57112	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57112	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57112	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57120	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57130	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57130	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57130	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57130	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57130	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57130	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
57130	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57130	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
57130	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
57130	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57130	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57130	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57135	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57135	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57135	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57135	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57135	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57135	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57135	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
57135	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57135	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57135	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
57135	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
57135	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57135	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57135	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57150	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57150	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57150	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
57150	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	0
57150	RUC	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
57150	RUC	"Accessory, Procedure"	SD129	"tubing, irrigation (cysto)"	item	4.6928	1	0
57150	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
57150	RUC	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	2	0
57150	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
57155	Mod sed	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
57155	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57155	Mod sed	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57155	Mod sed	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
57155	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57155	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
57155	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
57155	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
57155	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
57155	Mod sed	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
57156	CPT11 30	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
57156	CPT11 30	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57156	CPT11 30	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57156	CPT11 30	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	0
57156	CPT11 30	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57156	CPT11 30	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
57156	CPT11 30	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
57156	CPT11 30	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
57156	CPT11 30	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
57156	CPT11 30	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
57156	CPT11 30	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
57160	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57160	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
57160	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
57160	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	0
57170	Feb05 M	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57170	Feb05 M	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57180	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
57180	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57180	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57180	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
57180	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57180	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57180	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	0
57180	CMS	"Wound Care, Dressings"	SG092	"packing, gauze, plain, 1 in (5 yd uou)"	item	6.075	1	0
57180	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
57180	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57180	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	45	0
57180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
57180	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	1	0
57200	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57200	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57200	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57200	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57210	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57210	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57210	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57210	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57220	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57220	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57220	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57220	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57230	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57230	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57230	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57230	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57240	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57240	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57240	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57250	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57250	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57260	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57260	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57265	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57265	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57268	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57268	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57268	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57268	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57270	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57270	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57270	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57270	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57280	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57280	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57280	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57280	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57282	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57282	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57282	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57282	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57283	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57283	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57283	CPT05	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		2
57284	CPT08 E*	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
57284	CPT08 E*	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57284	CPT08 E*	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57284	CPT08 E*	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57285	CPT08 E	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
57285	CPT08 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57285	CPT08 E	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57285	CPT08 E	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57287	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
57287	Feb08 ss	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		4
57287	Feb08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57287	Feb08 ss	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57288	CPT12 5 Year	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57288	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57289	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57289	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57289	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57289	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57291	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57291	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57291	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57291	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57292	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57292	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57292	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57292	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57295	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57295	RUC05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57295	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57295	RUC05	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57296	CPT07	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
57296	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57296	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57296	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57300	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57300	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57300	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57305	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57305	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57305	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57307	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57307	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57307	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57307	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		4
57307	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		15
57308	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57308	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57308	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57308	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57310	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57310	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57310	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57310	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57310	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
57310	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57310	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
57310	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
57311	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57311	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57311	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57311	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57311	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
57311	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57311	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
57311	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
57320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57320	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57320	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57320	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57320	Sep02	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
57320	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57320	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
57320	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		20
57330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57330	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57330	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57330	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57330	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57335	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57335	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57335	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57335	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57335	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
57415	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
57415	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
57415	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
57420	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57420	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57420	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57420	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57420	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57420	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
57420	RUC	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57421		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57421		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57421		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57421		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57421		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57421		"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
57421		"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
57421		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57421		"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57421		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
57421		"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57421		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
57421		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
57421		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57421		Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57421		Infection Control	SM002	autoclave bag	item	0.07	2	0
57421		Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57423	CPT08 E	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
57423	CPT08 E	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57423	CPT08 E	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57423	CPT08 E	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57425	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57425	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57425	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
57425	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57426	CPT10 14	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
57426	CPT10 14	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57426	CPT10 14	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57426	CPT10 14	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57452	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57452	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57452	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57452	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57452	Mar03	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57452	Mar03	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57452	Mar03	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57454	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57454	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57454	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57454	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57454	Mar03	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57454	Mar03	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57454	Mar03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57454	Mar03	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57454	Mar03	Infection Control	SM002	autoclave bag	item	0.07	2	0
57454	Mar03	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57455		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57455		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57455		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57455		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57455		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57455		"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57455		"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57455		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	3	0
57455		Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57455		Infection Control	SM002	autoclave bag	item	0.07	2	0
57455		Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57456		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57456		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57456		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57456		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57456		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57456		"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57456		"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57456		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57456		Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57456		Infection Control	SM002	autoclave bag	item	0.07	2	0
57456		Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57460	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57460	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57460	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57460	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
57460	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
57460	Mar03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57460	Mar03	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
57460	Mar03	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	0
57460	Mar03	"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	8.1572	1	0
57460	Mar03	"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	15.7973	1	0
57460	Mar03	"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	41.35	1	0
57460	Mar03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
57460	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57460	Mar03	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
57460	Mar03	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	20	0
57460	Mar03	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
57460	Mar03	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57460	Mar03	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
57460	Mar03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
57460	Mar03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
57460	Mar03	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
57460	Mar03	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57460	Mar03	Infection Control	SM002	autoclave bag	item	0.07	2	0
57460	Mar03	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57461		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57461		"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57461		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57461		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
57461		"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
57461		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57461		"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
57461		"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	4	0
57461		"Cutters, Closures, Cautery"	SF014	"cautery, electrode extender"	item	8.1572	1	0
57461		"Cutters, Closures, Cautery"	SF017	"cautery, monopolar, electrode, loop"	item	15.7973	1	0
57461		"Cutters, Closures, Cautery"	SF019	"cautery, monopolar, electrode, spatula"	item	41.35	1	0
57461		"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
57461		"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57461		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	0
57461		"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	20	0
57461		"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
57461		"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	2	0
57461		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
57461		"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
57461		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
57461		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	3	0
57461		Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57461		Infection Control	SM002	autoclave bag	item	0.07	2	0
57461		Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57500	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57500	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57500	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
57500	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57500	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
57500	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
57500	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57500	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
57500	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
57500	RUC	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2.1	0
57500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
57500	RUC	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	30	0
57500	RUC	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	10	0
57500	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
57500	RUC	Lab	SL136	"stain, Lugol's"	ml	0.6712	2	0
57500	RUC	Infection Control	SM002	autoclave bag	item	0.07	1	0
57500	RUC	Infection Control	SM003	autoclave tape	yd	0.0815	0.67	0
57505	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
57505	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57505	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57505	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57505	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57505	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
57505	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57505	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57505	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
57510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57510	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57510	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57510	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57510	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
57510	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57510	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
57510	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57510	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
57511	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57511	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57511	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57511	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57511	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
57511	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57511	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57511	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
57511	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57511	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	3	0
57513	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57513	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57513	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57513	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
57513	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57513	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
57513	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
57513	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	3	0
57520	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
57520	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2.5	1.5
57520	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2.5	1.5
57520	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57520	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
57520	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57520	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57520	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0
57520	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
57520	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
57522	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57522	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57522	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2	1
57522	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
57522	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
57522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
57522	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
57522	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	1	0
57522	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
57522	CMS	"Pharmacy, NonRx"	SJ052	"swab, procto 16in"	item	0.1552	3	0
57530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57530	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57530	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57530	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57530	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57531	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57531	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57531	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57531	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57540	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57545	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57545	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57550	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57550	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57550	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57555	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57555	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57555	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57555	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57555	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57555	Sep02	"Office Supply, Grocery"	SK054	"pad, urinary incontinence (Depends)"	item	0.509		1
57555	Sep02	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452		15
57556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57556	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57556	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57556	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57556	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57558	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
57558	Mar02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
57558	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
57558	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
57700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
57700	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
57700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
57700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
57720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
57720	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
57720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
57720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
57720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
57800	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
57800	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
57800	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
57800	Apr07 T	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58100	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58100	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58100	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58100	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.5282	1	0
58100	RUC	"Accessory, Procedure"	SD329	Uterine Sound	item	3.17	1	0
58100	RUC	"Accessory, Procedure"	SD330	Tenaculum	item	3.77	1	0
58100	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	1	0
58100	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
58110	RUC	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.5282	1	0
58120	Apr06 J	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
58120	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
58120	Apr06 J	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
58120	Apr06 J	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
58120	Apr06 J	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58120	Apr06 J	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58120	Apr06 J	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58120	Apr06 J	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
58120	Apr06 J	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
58120	Apr06 J	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	0
58120	Apr06 J	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
58120	Apr06 J	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
58120	Apr06 J	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
58120	Apr06 J	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
58140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58140	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58140	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58140	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58140	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58145	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58145	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58145	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58145	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58146	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58146	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58146	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58146	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58150	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58150	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58150	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58150	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58152	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58152	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1.5
58152	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58152	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1.5
58180	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58180	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58180	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58180	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58200	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58200	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58200	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58200	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58210	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58210	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58210	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58210	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58240	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
58240	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		6
58240	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58240	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		6
58260	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58260	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58260	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58262	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58262	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58262	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58263	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58263	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58263	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58267	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58267	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2.5
58267	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2.5
58270	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58270	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58270	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58275	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58275	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58275	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58280	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58280	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58280	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58285	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58285	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58285	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58290	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58290	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58290	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58290	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58291	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58291	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58291	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58291	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58292	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58292	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58292	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58292	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58293	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58293	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58293	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58293	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58294	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58294	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58294	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58294	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
58301	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58301	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
58301	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
58301	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
58301	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
58301	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58301	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58301	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.745	1	0
58301	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
58301	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
58301	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
58301	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	0
58301	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
58301	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	0
58301	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
58301	CMS	"Office Supply, Grocery"	SK052	"pad, feminine mini"	item	0.175	1	0
58321	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58321	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
58321	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
58321	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
58321	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
58321	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
58321	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58321	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.745	1	0
58321	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
58321	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
58321	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
58321	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
58322	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58322	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
58322	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
58322	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
58322	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
58322	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
58322	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58322	CMS	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.745	1	0
58322	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
58322	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
58322	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
58322	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
58323	Feb05 M	Lab	SL030	"cover slip, glass"	item	0.079	1	0
58323	Feb05 M	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
58323	Feb05 M	Lab	SL108	pipette	item	0.0398	2	0
58323	Feb05 M	Lab	SL122	"slide, microscope"	item	0.1313	1	0
58323	Feb05 M	Lab	SL143	test tube	item	0.2548	5	0
58340	CMS	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
58340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	0
58340	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
58340	CMS	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
58340	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
58340	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	3	0
58340	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
58340	CMS	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
58340	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
58340	CMS	"Hypodermic, IV"	SC041	"needle, arterial (Seldinger)"	item	4.9938	1	0
58340	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
58340	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
58340	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	3	0
58340	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	0
58340	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
58340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58345	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58345	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58345	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58346	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58346	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58346	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58350	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
58350	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
58350	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
58350	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58350	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	2	0
58350	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58350	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58350	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
58350	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
58350	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
58353	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
58353	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
58353	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
58353	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58353	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	2	0
58353	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58353	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58353	CMS	"Accessory, Procedure"	SD018	"catheter, balloon, thermal ablation (Thermachoice)"	tray	735.8975	1	0
58353	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
58353	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	55	0
58353	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
58356	CPT05	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
58356	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
58356	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
58356	CPT05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
58356	CPT05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
58356	CPT05	"Gown, Drape"	SB038	safety glasses	item	2.6565	2	0
58356	CPT05	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58356	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
58356	CPT05	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58356	CPT05	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	0
58356	CPT05	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.5282	1	0
58356	CPT05	"Accessory, Procedure"	SD215	"probe, endometrial cryoablation (Her Option)"	item	1261.25	1	0
58356	CPT05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
58356	CPT05	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
58356	CPT05	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	0
58356	CPT05	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
58356	CPT05	"Pharmacy, NonRx"	SJ042	povidone surgical scrub (Betadine)	ml	0.0118	100	0
58356	CPT05	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	0
58356	CPT05	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	0
58400	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58400	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58400	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58400	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58400	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58410	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58410	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58410	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58410	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58410	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58520	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58520	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58540	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58540	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58541	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58541	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58541	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58541	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58542	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58542	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58542	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58542	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58543	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58543	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58543	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58543	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58544	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58544	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58544	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58544	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58545	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58546	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58546	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58548	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58548	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58548	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58548	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58550	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58550	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58552	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58552	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58553	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58553	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58553	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58554	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58554	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58554	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58555	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
58555	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58555	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58555	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
58555	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
58555	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58555	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
58555	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
58555	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
58555	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58555	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58555	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58555	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
58555	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58555	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	10	0
58555	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
58558	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
58558	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58558	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58558	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
58558	CMS	"Kit, Pack, Tray"	SA123	Hysteroscopic fluid management tubing kit		320	1	0
58558	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
58558	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58558	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
58558	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
58558	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
58558	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58558	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58558	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58558	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
58558	CMS	"Cutters, Closures, Cautery"	SF059	Hysteroscopic tissue removal device	item	652.0075	1	0
58558	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58558	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	10	0
58558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
58562	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
58562	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58562	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58562	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
58562	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
58562	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58562	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
58562	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
58562	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58562	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58562	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58562	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
58562	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58562	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	10	0
58562	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
58563	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
58563	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58563	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58563	CMS	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
58563	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
58563	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
58563	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
58563	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
58563	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
58563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58563	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
58563	CMS	"Accessory, Procedure"	SD177	"hysteroscope, ablation device"	item	1345.7825	1	0
58563	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	0
58563	CMS	"Wound Care, Dressings"	SG054	"gauze, sterile 3in x 3in"	item	0.1048	20	0
58563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	4	0
58563	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
58563	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58563	CMS	"Pharmacy, NonRx"	SJ036	Monsel's soln	ml	1.4902	10	0
58563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	4	0
58563	CMS	"Office Supply, Grocery"	SK051	"pad, feminine maxi"	item	0.21	1	0
58565	CPT05	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	1	0
58565	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
58565	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	3	2
58565	CPT05	"Kit, Pack, Tray"	SA058	"pack, urology cystoscopy visit"	pack	46.9387	1	0
58565	CPT05	"Kit, Pack, Tray"	SA075	"kit, hysteroscopic tubal implant for sterilization"	kit	1228.18	1	0
58565	CPT05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
58565	CPT05	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58565	CPT05	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
58565	CPT05	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
58565	CPT05	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
58565	CPT05	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58565	CPT05	"Hypodermic, IV"	SC062	"syringe, Toomey"	item	2.882	1	0
58565	CPT05	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
58565	CPT05	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
58565	CPT05	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	3	0
58570	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58570	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58570	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58570	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58571	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58571	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58571	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58571	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58572	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58572	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58572	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58572	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58573	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58573	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58573	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58575	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58575	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58575	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58575	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58600	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58600	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58600	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
58605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58605	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58605	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58605	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58605	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
58615	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58615	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58615	Jan03	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58615	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58660	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58660	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58660	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58660	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58660	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58661	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
58661	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58661	Jan03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58661	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58662	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58662	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58662	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58662	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58662	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58670	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58670	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58670	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58670	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58670	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58671	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58671	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58671	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58671	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58671	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58672	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58672	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58672	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58672	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58672	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58673	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
58673	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58673	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58673	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58673	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58674	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58674	RUC	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58674	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
58674	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
58700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58700	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58700	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58700	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58700	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58720	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58720	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58720	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58720	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58740	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58740	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58740	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58740	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58750	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58750	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58750	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58750	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58752	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58752	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58752	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58752	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58752	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58760	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58760	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58760	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58760	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58770	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58770	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58770	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58770	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58800	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
58800	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2.5	1.5
58800	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2.5	1.5
58800	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	3	0
58800	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	2	0
58800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
58800	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
58800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
58800	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
58805	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58805	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58805	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58805	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58805	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58820	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58820	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58820	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58820	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58822	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58822	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58822	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58822	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58825	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58825	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58825	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58825	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58825	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58900	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58900	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58900	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58900	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58900	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58920	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58920	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58920	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58920	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58920	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58925	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58925	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58925	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58925	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58925	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58940	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58940	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58940	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58940	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58940	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
58943	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58943	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58943	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58943	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58943	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
58950	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58950	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58950	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58950	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58950	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
58951	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58951	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58951	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58951	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58951	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
58952	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58952	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58952	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58952	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58952	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
58953	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58953	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58953	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58953	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58954	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58954	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58954	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58954	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58956	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58956	CPT05	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
58956	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
58956	CPT05	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		1
58957	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58957	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58957	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58957	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58958	CPT07	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
58958	CPT07	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
58958	CPT07	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58958	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
58960	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
58960	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
58960	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
58960	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
58960	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		9
58970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58970	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58970	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58970	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1.5	0
58970	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
58970	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
58976	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
58976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
58976	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
58976	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1.5	0
58976	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
58976	CMS	"Accessory, Procedure"	SD025	"catheter, intrauterine insemination"	item	7.1	1	0
59000	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59000	CMS	"Kit, Pack, Tray"	SA059	"tray, amniocentesis"	tray	17.4447	1	0
59000	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
59000	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59015	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
59015	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59020	Jan03	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
59020	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
59020	Jan03	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
59020	Jan03	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
59020	Jan03	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
59020	Jan03	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
59020	Jan03	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
59020	Jan03	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	
59020	Jan03	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
59020	Jan03	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	150	
59020	Jan03	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
59025	Jan03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
59025	Jan03	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
59025	Jan03	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	150	
59025	Jan03	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
59070	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59070	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
59070	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	3	0
59070	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
59070	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	2	0
59070	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
59070	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
59070	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
59070	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
59070	CMS	"Pharmacy, Rx"	SH041	Indigo Carmine soln 0.8% inj (5cc vial uou)	item	12.7	1	0
59070	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
59070	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
59070	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	0
59070	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
59074	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59074	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
59074	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	3	0
59074	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
59074	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	2	0
59074	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
59074	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
59074	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
59074	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
59074	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
59074	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	0
59074	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
59100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59100	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59100	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59100	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59100	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59120	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59120	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59120	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59120	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59121	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59121	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59121	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59121	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59121	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59130	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59130	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59130	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59130	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59130	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59135	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59135	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59135	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59135	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59135	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59136	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59136	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59136	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59136	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59136	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		5
59140	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1.5
59140	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1.5
59140	Apr07 T	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1.5
59140	Apr07 T	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375		1.5
59150	Apr07 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59150	Apr07 T	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59150	Apr07 T	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59150	Apr07 T	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59150	Apr07 T	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		8
59151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
59151	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59151	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59151	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
59160	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
59160	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
59160	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
59160	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
59160	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
59160	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
59160	CMS	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	0
59160	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	0
59160	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	100	0
59160	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
59160	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
59200	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59200	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
59200	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
59200	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59200	CMS	"Pharmacy, Rx"	SH045	Laminaria tent	item	3.7448	3	0
59200	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
59200	CMS	Infection Control	SM003	autoclave tape	yd	0.0815	1	0
59300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
59300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
59300	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
59300	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
59300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
59300	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
59300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
59300	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	0
59300	CMS	"Wound Care, Dressings"	SG062	"packing, gauze plain 0.25-0.50in (5 yd uou)"	item	3.4623	0.4	0
59300	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
59300	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	0.5	0
59300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	45	0
59300	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
59400	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		14
59400	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
59400	CPT11 MD Time	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
59400	CPT11 MD Time	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702		13
59400	CPT11 MD Time	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173		650
59400	CPT11 MD Time	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127		13
59410	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
59410	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59425	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	0
59425	CPT11	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
59425	CPT11	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702	5	0
59425	CPT11	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	250	0
59425	CPT11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	5	0
59426	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	10	0
59426	CPT11	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
59426	CPT11	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702	10	0
59426	CPT11	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	500	0
59426	CPT11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	10	0
59430	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
59430	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	0
59430	CPT11 MD Time	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	0
59430	CPT11 MD Time	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.745	2	0
59430	CPT11 MD Time	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702	2	0
59430	CPT11 MD Time	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	100	0
59430	CPT11 MD Time	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	2	0
59510	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		15
59510	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
59510	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59510	CPT11 MD Time	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59510	CPT11 MD Time	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
59510	CPT11 MD Time	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702		13
59510	CPT11 MD Time	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173		650
59510	CPT11 MD Time	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127		13
59515	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59515	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59515	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59610	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		14
59610	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
59610	CPT11 MD Time	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
59610	CPT11 MD Time	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702		13
59610	CPT11 MD Time	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173		650
59610	CPT11 MD Time	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127		13
59618	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		15
59618	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
59618	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59618	CPT11 MD Time	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59618	CPT11 MD Time	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845		4
59618	CPT11 MD Time	"Pharmacy, NonRx"	SJ054	"test strip, glucose-protein (Chemstrip GP, Uristix)"	item	0.2702		12
59618	CPT11 MD Time	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173		600
59618	CPT11 MD Time	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127		12
59622	CPT11 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59622	CPT11 MD Time	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59622	CPT11 MD Time	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59812	Apr06 J	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
59812	Apr06 J	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
59812	Apr06 J	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
59812	Apr06 J	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
59812	Apr06 J	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59812	Apr06 J	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
59812	Apr06 J	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
59812	Apr06 J	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
59812	Apr06 J	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	0
59812	Apr06 J	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
59812	Apr06 J	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
59812	Apr06 J	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
59820	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
59820	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	3	2
59820	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	3	2
59820	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59820	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
59820	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
59820	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
59820	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
59820	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
59820	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
59820	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
59820	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
59820	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
59821	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2.5	1.5
59821	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2.5	1.5
59821	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	2.5	1.5
59821	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59821	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
59821	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
59821	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
59821	CMS	"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
59821	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
59821	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
59821	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
59821	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
59821	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
59830	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59830	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59830	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59830	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59840	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
59840	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
59840	CMS	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
59841	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
59841	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	2	1
59841	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	1
59841	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
59841	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
59841	CMS	"Hypodermic, IV"	SC063	syringe-needle 10ml 26g	item	0.2898	1	0
59841	CMS	"Accessory, Procedure"	SD039	"curette, suction, endometrial (Pipelle)"	item	4.5282	1	0
59841	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
59841	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
59841	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	0
59841	CMS	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
59850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
59850	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59850	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59850	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
59851	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
59851	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		2
59851	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		2
59851	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
59852	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
59852	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		3
59852	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59852	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
59852	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
59855	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
59855	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59855	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59855	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59855	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
59856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
59856	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59856	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59856	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
59857	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
59857	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		1
59857	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
59857	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
59870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
59870	Sep02	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919		4
59870	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
59870	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		4
59870	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		4
60000	Feb05 P	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	2	1
60000	Feb05 P	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	1
60000	Feb05 P	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	0
60000	Feb05 P	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	2
60000	Feb05 P	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
60000	Feb05 P	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	1
60000	Feb05 P	"Gown, Drape"	SB037	pillow case	item	0.3478	1	1
60000	Feb05 P	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
60000	Feb05 P	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
60000	Feb05 P	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
60000	Feb05 P	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
60000	Feb05 P	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2
60000	Feb05 P	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	4
60000	Feb05 P	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
60000	Feb05 P	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	2
60000	Feb05 P	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	3
60000	Feb05 P	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
60000	Feb05 P	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	1
60000	Feb05 P	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	3	0
60000	Feb05 P	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
60000	Feb05 P	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	1
60000	Feb05 P	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	60
60000	Feb05 P	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
60000	Feb05 P	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	2
60000	Feb05 P	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225	1	1
60000	Feb05 P	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	1
60100	Jan02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
60100	Jan02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
60100	Jan02	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
60100	Jan02	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
60100	Jan02	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	9.0638	1	0
60100	Jan02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
60100	Jan02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
60100	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
60200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60200	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60200	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60200	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60200	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60200	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60200	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60210	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60210	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60210	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60210	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60210	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60210	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60210	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60210	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60212	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60212	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60212	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60212	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60212	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60212	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60212	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60212	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60220	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60220	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60220	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60220	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60220	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60220	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60220	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60220	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60225	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60225	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60225	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60225	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60225	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60225	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60225	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60240	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60240	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60240	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60240	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60240	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60240	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60240	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60240	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60252	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60252	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60252	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60252	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60252	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60252	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60252	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60254	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60254	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60254	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60254	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60254	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60254	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60254	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60254	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60260	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60260	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60260	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60260	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60260	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60260	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60260	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60260	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60270	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60270	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60270	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60270	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60270	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60270	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60270	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60271	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60271	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60271	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60271	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60271	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60271	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60271	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60280	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60280	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60280	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60280	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60280	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60280	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60281	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60281	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60281	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60281	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60281	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60281	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60281	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60300	CPT08 rn	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
60300	CPT08 rn	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
60300	CPT08 rn	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
60300	CPT08 rn	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
60300	CPT08 rn	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
60300	CPT08 rn	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
60300	CPT08 rn	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
60300	CPT08 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
60300	CPT08 rn	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
60300	CPT08 rn	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
60300	CPT08 rn	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
60300	CPT08 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
60300	CPT08 rn	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
60300	CPT08 rn	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	0
60500	CPT12 5 Year	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60500	CPT12 5 Year	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60500	CPT12 5 Year	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60500	CPT12 5 Year	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60500	CPT12 5 Year	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60500	CPT12 5 Year	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60500	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60500	CPT12 5 Year	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60502	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
60502	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60502	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60502	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60502	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60502	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60502	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60505	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
60505	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60505	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60505	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60505	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60505	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60505	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60520	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60520	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60520	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60520	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60520	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60521	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60521	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60521	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60521	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60521	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60521	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60521	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
60522	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60522	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60522	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60522	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60522	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60522	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60522	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60540	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60540	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60540	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60540	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60540	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60540	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
60545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
60545	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60545	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60545	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60545	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60545	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60545	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60600	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
60600	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		1
60600	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
60600	Sep02	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		1
60600	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		20
60600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		180
60600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		1
60605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60605	Sep02	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
60605	Sep02	"Accessory, Procedure"	SD070	endosheath	item	16.7575		4
60605	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		32
60605	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		8
60605	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
60605	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
60605	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
60605	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
60605	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		8
60605	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		3
60605	Sep02	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165		4
60650	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
60650	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61105	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
61105	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61108	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61108	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61120	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61120	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61140	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61150	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61150	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61151	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61151	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61154	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61154	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61156	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61156	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61215	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61215	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61250	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61253	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61253	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61304	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61305	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61312	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61312	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61313	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61313	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61314	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61314	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61315	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61315	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61320	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61320	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61321	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61321	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61322	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61323	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61330	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61330	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61332	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61332	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61333	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61333	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61340	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61340	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
61343	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61343	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61343	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61345	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61345	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61345	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61450	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61450	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61450	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61458	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61458	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61458	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61460	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61460	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61460	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61480	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61480	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61480	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61500	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61500	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61500	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61501	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61501	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61501	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61510	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61510	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61510	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61512	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61512	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61512	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61514	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61514	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61514	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61516	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61516	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61516	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61518	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61518	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61518	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61519	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61519	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61519	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61520	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61520	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61520	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61521	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61521	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61521	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61522	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61522	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61522	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61524	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61524	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61524	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61526	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61526	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61526	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61530	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61530	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61530	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61531	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61531	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61531	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61533	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61533	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61533	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61534	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61534	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61534	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61535	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61535	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61535	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61536	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61536	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61536	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61537	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61537	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61538	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61538	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61538	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61539	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61539	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61539	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61540	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61540	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61541	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61541	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61541	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61543	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61543	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61543	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61544	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61544	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61544	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61545	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61545	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61545	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61546	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61546	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61546	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61548	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61548	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61548	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61550	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61550	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61550	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61552	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61552	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61552	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61556	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61556	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61556	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61557	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61557	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61557	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61558	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61558	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61558	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61559	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61559	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61559	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61563	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61563	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61563	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61564	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61564	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61564	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61566	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61566	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61567	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61567	Sep02	"Kit, Pack, Tray"	SA055	"pack, post-op incision care, craniotomy"	pack	7.3		1
61570	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61570	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61570	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61571	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61571	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61571	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61575	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61575	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61576	Jan04 21	"Kit, Pack, Tray"	SA035	"kit, tracheostomy care"	kit	2.085		2
61576	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
61576	Jan04 21	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61576	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
61576	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
61576	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61576	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
61576	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
61576	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61576	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
61576	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2
61576	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
61576	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
61576	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		12
61576	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8
61576	Jan04 21	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		8
61576	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
61576	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
61576	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
61576	Jan04 21	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
61576	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61580	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61580	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61580	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61580	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61580	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61580	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61580	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		5
61580	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2.5
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		5
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61580	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61580	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		10
61580	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		5
61580	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		10
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61581	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		6
61581	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61581	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
61581	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		6
61581	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		6
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		6
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		6
61581	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		6
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		24
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		24
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61581	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		6
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		6
61581	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		3
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		30
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		6
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		6
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		6
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		30
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61581	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61581	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		12
61581	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		6
61581	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		12
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61582	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61582	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61582	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61582	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61582	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61582	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61582	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		5
61582	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2.5
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		5
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		5
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61582	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61582	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		10
61582	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		5
61582	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		10
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61583	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61583	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61583	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61583	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61583	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61583	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61583	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		3
61583	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1.5
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61583	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61583	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		6
61583	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		3
61583	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		6
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61584	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61584	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61584	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61584	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61584	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61584	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61584	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		3
61584	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1.5
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61584	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61584	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		6
61584	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		3
61584	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		6
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61585	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61585	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61585	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61585	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61585	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61585	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61585	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		3
61585	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		1.5
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		3
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		3
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61585	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61585	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		6
61585	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		3
61585	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		6
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61586	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61586	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61586	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61586	CPT15 FTD Migration	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61586	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61586	CPT15 FTD Migration	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61586	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413		4
61586	CPT15 FTD Migration	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598		2
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875		4
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ040	phenylephrine 1% nasal spray (NeoSynephrine)	ml	0.333		4
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61586	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61586	CPT15 FTD Migration	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		8
61586	CPT15 FTD Migration	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902		4
61586	CPT15 FTD Migration	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		8
61590	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61590	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61590	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61590	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61590	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61590	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61590	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61590	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61590	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61590	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61590	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61590	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61590	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61590	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61590	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61590	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61590	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61590	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61590	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61590	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61590	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61590	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61590	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61590	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61590	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61590	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61590	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61590	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61591	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61591	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61591	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61591	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61591	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61591	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61591	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61591	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61591	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61591	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61591	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61591	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61591	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61591	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61591	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61591	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61591	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61591	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61591	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61591	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61591	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61591	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61591	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61591	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61591	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61591	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61591	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61591	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61592	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61592	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61592	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61592	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61592	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61592	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61592	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61592	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61592	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61592	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61592	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61592	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61592	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61592	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61592	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61592	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61592	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61592	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61592	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61592	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61592	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61592	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61592	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61592	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61592	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61592	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61592	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61592	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61595	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61595	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61595	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61595	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61595	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61595	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61595	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61595	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61595	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61595	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61595	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61595	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61595	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61595	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61595	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61595	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61595	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61595	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61595	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61595	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61595	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61595	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61595	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61595	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61595	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61595	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61595	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61595	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61596	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61596	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61596	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61596	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61596	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61596	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61596	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61596	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61596	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61596	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61596	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61596	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61596	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61596	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61596	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61596	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61596	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61596	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61596	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61596	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61596	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61596	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61596	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61596	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61596	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61596	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61596	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61596	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61597	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61597	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61597	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61597	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61597	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61597	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61597	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61597	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61597	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61597	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61597	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61597	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61597	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61597	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61597	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61597	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61597	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61597	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61597	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61597	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61597	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61597	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61597	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61597	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61597	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61597	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61597	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61597	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61598	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61598	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61598	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61598	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61598	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61598	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61598	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61598	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61598	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61598	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61598	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61598	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61598	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61598	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61598	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61598	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61598	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61598	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61598	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61598	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61598	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61598	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61598	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61598	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61598	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61598	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61598	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61598	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61600	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61600	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61600	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61600	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61600	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61600	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61600	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61600	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61600	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61600	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61600	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61600	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61600	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61600	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61600	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61600	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61600	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61600	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61600	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61600	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61600	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61600	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61600	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61600	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61600	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61600	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61601	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61601	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61601	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61601	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61601	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61601	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61601	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61601	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61601	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61601	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61601	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61601	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61601	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61601	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61601	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61601	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61601	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61601	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61601	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61601	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61601	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61601	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61601	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61601	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61601	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61601	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61601	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61601	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61605	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61605	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61605	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		5
61605	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61605	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
61605	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		5
61605	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
61605	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
61605	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		5
61605	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		5
61605	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61605	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		20
61605	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61605	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61605	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		20
61605	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61605	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		5
61605	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61605	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61605	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61605	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
61605	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
61605	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
61605	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
61605	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61605	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
61605	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61605	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61606	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61606	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61606	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61606	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61606	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61606	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61606	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61606	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61606	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61606	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61606	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61606	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61606	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61606	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61606	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61606	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61606	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61606	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61606	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61606	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61606	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61606	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61606	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61606	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61606	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61606	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61606	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61606	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61607	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61607	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61607	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61607	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61607	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61607	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61607	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61607	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61607	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61607	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61607	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61607	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61607	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61607	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61607	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61607	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61607	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61607	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61607	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61607	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61607	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61607	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61607	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61607	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61607	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61607	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61607	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61607	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61608	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61608	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61608	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61608	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61608	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61608	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61608	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61608	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61608	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61608	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61608	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61608	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61608	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61608	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61608	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61608	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61608	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61608	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61608	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61608	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61608	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61608	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61608	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61608	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61608	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61608	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61608	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61608	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61613	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61613	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61613	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61613	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61613	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		3
61613	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		3
61613	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
61613	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
61613	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		3
61613	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		3
61613	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61613	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		12
61613	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61613	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61613	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		12
61613	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61613	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		3
61613	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61613	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61613	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61613	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
61613	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
61613	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
61613	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
61613	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61613	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
61613	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61613	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61615	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61615	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61615	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61615	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61615	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61615	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61615	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61615	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61615	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61615	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61615	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61615	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61615	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61615	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61615	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61615	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61615	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61615	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61615	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61615	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61615	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61615	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61615	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61615	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61615	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61615	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61615	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61616	Sep02	"Kit, Pack, Tray"	SA030	"kit, staple removal"	kit	1.203		1
61616	Sep02	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
61616	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61616	Sep02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
61616	Sep02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
61616	Sep02	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745		4
61616	Sep02	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
61616	Sep02	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
61616	Sep02	"Accessory, Procedure"	SD010	"canister, vacuum"	item	6.367		4
61616	Sep02	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933		4
61616	Sep02	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358		1
61616	Sep02	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227		16
61616	Sep02	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
61616	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		1
61616	Sep02	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		16
61616	Sep02	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
61616	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
61616	Sep02	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
61616	Sep02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		2
61616	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
61616	Sep02	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
61616	Sep02	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
61616	Sep02	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
61616	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
61616	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		20
61616	Sep02	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
61616	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		2
61616	Sep02	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
61618	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61618	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61618	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61619	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61619	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61619	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61630	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61635	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61680	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61680	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61680	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61682	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61682	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61682	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61684	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61684	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61684	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61686	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61686	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61686	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61690	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61690	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61690	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61692	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61692	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61692	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61697	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61697	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61697	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61698	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61698	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61698	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61700	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61703	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61703	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61703	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61705	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61705	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61705	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61708	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61708	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61708	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61710	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61710	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61710	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61711	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61711	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61711	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61720	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61720	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61720	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61735	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61735	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61735	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61750	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61750	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61750	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61751	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61751	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61751	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61760	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61770	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61770	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61770	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61790	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61790	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61791	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61791	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61791	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61796	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61798	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61800	CPT09 17	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61850	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61850	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61850	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61860	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61860	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61860	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61863	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61863	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61867	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
61867	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61870	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61870	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61870	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61880	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61880	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61880	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61885	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
61885	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
61885	CPT11 32	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61886	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
61886	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
61886	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
61888	Feb05 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
61888	Feb05 D	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62000	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62000	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62000	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62005	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62005	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62010	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62010	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62010	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62100	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62100	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62100	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62115	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
62115	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62115	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62117	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62117	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62117	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62120	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
62120	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
62120	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
62120	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		4
62120	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
62120	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
62120	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
62120	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
62120	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
62120	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
62120	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
62120	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
62120	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
62120	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		16
62120	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
62120	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
62120	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
62120	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
62120	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
62120	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
62120	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
62120	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
62120	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
62120	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
62120	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
62121	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
62121	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
62121	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2
62121	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
62121	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2
62121	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
62121	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
62121	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
62121	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
62121	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
62121	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
62121	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
62121	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
62121	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
62121	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
62121	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
62121	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
62121	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8
62121	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2
62121	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
62121	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
62121	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
62121	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		10
62121	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
62121	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2
62140	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62140	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62140	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62141	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62141	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62141	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62142	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62142	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62142	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62143	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62143	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62143	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62145	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62145	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62145	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62146	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62146	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62146	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62147	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62147	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62147	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62161	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62161	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62162	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62162	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62163	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62163	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62164	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
62164	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62165	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62165	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62180	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62190	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62192	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62192	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62192	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62194	Feb05 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62194	Feb05 D	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
62200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62200	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62201	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62201	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62201	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62220	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62220	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62220	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62223	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62223	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62223	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62225	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62225	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62225	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62230	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62230	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62230	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62256	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62256	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62256	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62258	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62258	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62258	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62263	Feb08 cs	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
62263	Feb08 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
62263	Feb08 cs	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
62263	Feb08 cs	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
62263	Feb08 cs	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	3	0
62263	Feb08 cs	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62263	Feb08 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	6	0
62263	Feb08 cs	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
62263	Feb08 cs	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	63.4237	1	0
62263	Feb08 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
62264	CPT15 FTD Migration	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
62264	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62264	CPT15 FTD Migration	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	1	0
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
62264	CPT15 FTD Migration	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
62264	CPT15 FTD Migration	"Accessory, Procedure"	SD028	"catheter, Racz (Tun-L-Kath)"	item	63.4237	1	0
62264	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
62267	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
62267	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62267	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
62267	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
62267	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
62267	CMS	Lab	SL262	Anerobic culture tube	item		1	0
62270	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62270	Mar03	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	17.724	1	0
62270	Mar03	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
62270	Mar03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62270	Mar03	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62270	Mar03	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
62270	Mar03	"Hypodermic, IV"	SC048	spinal manometer	item	20.8163	1	0
62270	Mar03	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
62270	Mar03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
62272	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62272	CMS	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	22.164	1	0
62272	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62272	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
62272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62272	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
62272	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62272	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62272	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
62272	CMS	"Hypodermic, IV"	SC048	spinal manometer	item	20.8163	1	0
62272	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
62272	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62272	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
62272	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
62273	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62273	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	17.724	1	0
62273	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62273	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
62273	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62273	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62273	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
62273	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62273	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62273	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
62273	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	5	0
62273	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
62273	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62273	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
62273	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
62280	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62280	Jan04 5	"Kit, Pack, Tray"	SA068	"tray, spinal anesthesia"	tray	22.164	1	0
62280	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62280	Jan04 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62280	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62280	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62280	Jan04 5	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62280	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62280	Jan04 5	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	10	0
62281	CPT11 Letter	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62281	CPT11 Letter	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62281	CPT11 Letter	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62281	CPT11 Letter	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62281	CPT11 Letter	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62281	CPT11 Letter	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62281	CPT11 Letter	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62281	CPT11 Letter	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62281	CPT11 Letter	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62281	CPT11 Letter	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62281	CPT11 Letter	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	10	0
62282	Jan04 5	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62282	Jan04 5	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62282	Jan04 5	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62282	Jan04 5	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62282	Jan04 5	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62282	Jan04 5	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62282	Jan04 5	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62282	Jan04 5	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62282	Jan04 5	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62282	Jan04 5	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62282	Jan04 5	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	10	0
62284	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62284	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	0
62284	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62284	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
62287	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
62287	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62287	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62290	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
62290	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62290	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
62290	Mar03	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
62290	Mar03	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
62291	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
62291	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62291	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
62291	Mar03	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	0
62292	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62294	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
62302	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62302	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	0
62302	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62302	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
62303	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62303	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	0
62303	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62303	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
62304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62304	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	0
62304	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62304	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
62305	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62305	CMS	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	0
62305	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62305	CMS	"Hypodermic, IV"	SC042	"needle, spine, Sprotte"	item	8.92	1	0
62320	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62320	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62320	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62320	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62320	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62320	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62321	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62321	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62321	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	0
62321	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62321	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
62321	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62321	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62321	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62321	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62321	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62321	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
62321	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
62322	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62322	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62322	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62322	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62322	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62322	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62322	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62322	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62322	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62322	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62323	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62323	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62323	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	0
62323	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62323	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
62323	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62323	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62323	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62323	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62323	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62323	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62323	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
62323	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
62324	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62324	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62324	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62324	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62324	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62324	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62324	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62324	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62324	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62325	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62325	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62325	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	0
62325	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62325	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
62325	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62325	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62325	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62325	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62325	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62325	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
62325	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
62326	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62326	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62326	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62326	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62326	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62326	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62326	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62326	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62326	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62326	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
62327	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62327	CMS	"Kit, Pack, Tray"	SA064	"tray, epidural"	tray	22.5267	1	0
62327	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	0
62327	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
62327	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
62327	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
62327	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
62327	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
62327	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62327	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62327	CMS	"Hypodermic, IV"	SC038	"needle, epidural (RK)"	item	10.325	1	0
62327	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
62327	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
62350	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62350	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62350	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62351	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
62351	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62351	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62355	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62355	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62355	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62360	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62360	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62360	Apr08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62361	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62361	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62361	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62362	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62362	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
62362	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
62365	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
62365	Apr08 ss	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
62369	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
62369	CMS	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	27.21	1	0
62369	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
62369	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62369	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62369	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
62369	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
62369	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62369	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
62369	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
62370	RUC	"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	27.21	1	0
62370	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
62370	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
62370	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
62370	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
62370	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
62370	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
62370	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
62370	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
63001	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63001	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63003	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63003	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63005	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63005	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63011	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63011	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63012	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63012	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63015	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63015	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63016	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63016	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63017	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63017	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63020	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63020	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63030	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63030	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63040	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63040	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63042	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63042	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63045	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63045	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63046	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63046	RUC	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63047	CPT14 Mar 6	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63047	CPT14 Mar 6	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63050	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63050	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
63051	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63051	CPT05	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
63055	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63055	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63056	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63056	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63064	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63064	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63075	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63075	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63077	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63077	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63081	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63081	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63085	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63085	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63087	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63087	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63090	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63090	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
63101	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
63101	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
63102	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
63102	Sep02	"Kit, Pack, Tray"	SA056	"pack, post-op incision care, neurosurgical"	pack	6.203		1
63170	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63170	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63172	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63172	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63173	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63173	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63180	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63180	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63182	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63182	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63185	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63185	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63190	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63190	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63191	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63191	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63194	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63194	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		2
63195	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63195	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63196	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63196	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63197	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63197	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63198	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63198	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63199	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63199	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63200	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63200	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63200	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63250	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63250	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63250	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63251	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63251	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63251	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63252	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63252	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63252	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63265	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63265	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63265	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63266	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63266	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63266	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63267	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63267	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63267	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63268	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63268	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63268	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63270	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63270	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63270	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63271	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63271	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63271	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63272	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63272	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63272	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63273	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63273	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63273	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63275	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63275	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63275	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63276	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63276	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63276	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63277	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63277	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63277	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63278	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63278	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63278	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63280	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63280	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63280	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63281	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63281	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63281	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63282	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63282	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63282	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63283	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63283	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63283	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63285	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63285	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63285	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63286	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63286	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63286	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63287	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63287	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63287	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63290	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63290	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63290	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63300	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63300	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63300	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63301	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63301	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63301	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63302	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63302	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63302	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63303	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63303	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63303	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63304	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63304	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63304	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63305	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63305	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63305	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63306	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63306	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63306	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63307	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63307	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63307	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63600	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63615	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63620	CPT09 17	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63650	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	0
63650	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
63650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
63650	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
63650	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
63650	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
63650	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
63650	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	0
63650	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
63650	CMS	"Accessory, Procedure"	SD280	Trial lead kit	item	277.235	1	0
63650	CMS	"Accessory, Procedure"	SD281	Trial lead array	item	535.2175	1	0
63650	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
63650	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	2
63650	CMS	"Pharmacy, Rx"	SH098	chlorhexidine 4.0% (Hibiclens)	oz		1	0
63655	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63655	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63661	CPT10 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
63661	CPT10 33	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
63661	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
63661	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
63661	CPT10 33	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
63661	CPT10 33	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
63661	CPT10 33	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
63661	CPT10 33	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
63661	CPT10 33	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
63661	CPT10 33	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
63661	CPT10 33	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
63661	CPT10 33	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
63661	CPT10 33	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
63661	CPT10 33	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
63661	CPT10 33	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
63662	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63662	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63663	CPT10 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
63663	CPT10 33	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
63663	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
63663	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
63663	CPT10 33	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
63663	CPT10 33	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
63663	CPT10 33	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
63663	CPT10 33	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
63663	CPT10 33	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
63663	CPT10 33	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
63663	CPT10 33	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
63663	CPT10 33	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
63663	CPT10 33	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
63663	CPT10 33	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
63663	CPT10 33	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	0
63664	CPT10 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63664	CPT10 33	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63685	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
63685	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63685	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63688	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
63688	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63688	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63700	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63700	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63700	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
63702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
63704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
63704	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63704	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
63706	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
63706	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63706	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		4
63707	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63707	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63707	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63709	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63709	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63709	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63710	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63710	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63710	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63740	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
63740	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63740	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63741	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63741	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63741	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63744	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63744	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63744	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
63746	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
63746	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
63746	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64400	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64400	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64400	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64402	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64402	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64402	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64402	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64402	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64405	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
64405	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64405	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64405	RUC	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
64405	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
64405	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64405	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
64408	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64408	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64408	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64408	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64408	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64410	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64410	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64410	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64410	Mar03	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64410	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64413	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64413	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64413	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64413	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64415	CPT11 56	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64415	CPT11 56	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64415	CPT11 56	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	30	0
64417	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64417	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64417	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
64417	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64417	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
64418	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
64418	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
64418	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
64418	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
64418	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64418	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64418	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64418	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64418	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64418	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
64418	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64418	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
64418	RUC	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
64420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64420	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64420	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64420	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64421	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64421	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64421	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	3	0
64421	Mar03	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
64421	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64425	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64425	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64425	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64425	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64425	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64430	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64430	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64430	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
64430	CMS	"Hypodermic, IV"	SC040	"needle, Kopan"	item	22.32	1	0
64430	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64430	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64435	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64435	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64435	CMS	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
64435	CMS	"Hypodermic, IV"	SC040	"needle, Kopan"	item	22.32	1	0
64435	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64435	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64445	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64445	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64445	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	30	0
64447	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64447	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64447	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	30	0
64450	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64450	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64450	RUC	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64455	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
64455	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
64455	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64455	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64455	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64455	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
64455	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
64455	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
64455	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
64461	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64461	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64461	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
64461	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
64461	CMS	"Hypodermic, IV"	SC101	ultrasound needle		12.9925	1	0
64461	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	20	0
64461	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	0
64462	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
64462	RUC	"Hypodermic, IV"	SC101	ultrasound needle		12.9925	1	0
64462	RUC	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	20	0
64462	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	0
64463	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64463	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64463	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray		48.5475	1	0
64463	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
64463	CMS	"Accessory, Procedure"	SD316	Catheter securement device	Item	0	1	0
64463	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	3	0
64463	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	20	0
64463	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	0
64479	CPT11 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64479	CPT11 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64479	CPT11 33	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64479	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64479	CPT11 33	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64479	CPT11 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
64480	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64483	CPT11 33	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64483	CPT11 33	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64483	CPT11 33	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64483	CPT11 33	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64483	CPT11 33	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64483	CPT11 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
64484	CMS	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64486	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64486	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64486	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
64486	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
64486	CMS	"Hypodermic, IV"	SC101	ultrasound needle		12.9925	1	0
64486	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
64486	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	0
64487	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64487	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64487	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray		48.5475	1	0
64487	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
64487	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
64487	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
64487	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	0
64488	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64488	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64488	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
64488	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
64488	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
64488	CMS	"Hypodermic, IV"	SC101	ultrasound needle		12.9925	1	0
64488	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	40	0
64488	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
64489	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64489	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64489	CMS	"Kit, Pack, Tray"	SA116	continuous peripheral nerve block tray		48.5475	2	0
64489	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	0
64489	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
64489	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	2	0
64489	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	40	0
64489	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	0
64490	CPT10 34	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64490	CPT10 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64490	CPT10 34	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64490	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64490	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64490	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	3	0
64491	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64491	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	3	0
64492	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64492	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64492	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	3	0
64493	CPT10 34	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64493	CPT10 34	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64493	CPT10 34	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64493	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64493	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64493	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64494	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64494	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64495	CPT10 34	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64495	CPT10 34	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64495	CPT10 34	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64505	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64505	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64505	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64505	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64510	CPT10 50	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64510	CPT10 50	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64510	CPT10 50	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64510	CPT10 50	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64510	CPT10 50	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
64517	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64517	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
64517	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
64517	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64517	CMS	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	20	0
64517	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.48	1	0
64520	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64520	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64520	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64520	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64520	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
64530	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64530	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64530	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64530	Mar03	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64530	Mar03	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	10	0
64553	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64553	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64553	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
64553	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
64553	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	0
64553	RUC	"Accessory, Procedure"	SD280	Trial lead kit	item	277.235	1	0
64553	RUC	"Accessory, Procedure"	SD281	Trial lead array	item	535.2175	1	0
64553	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
64553	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
64555	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64555	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64555	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
64555	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
64555	RUC	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64555	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	0
64555	RUC	"Accessory, Procedure"	SD280	Trial lead kit	item	277.235	1	0
64555	RUC	"Accessory, Procedure"	SD281	Trial lead array	item	535.2175	1	0
64555	RUC	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
64555	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
64555	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
64561	CMS	"Kit, Pack, Tray"	SA022	"kit, percutaneous neuro test stimulation"	kit	343.63	1	0
64561	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64561	CMS	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64561	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	40	0
64566	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64566	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
64566	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
64566	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
64566	CMS	"Accessory, Procedure"	SD246	urgent PC lead	item	65	1	0
64566	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64566	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	10	0
64566	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
64568	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64568	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64569	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64569	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64570	CPT11 32	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64570	CPT11 32	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64575	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64575	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64575	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64580	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64580	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64580	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64581	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
64581	CPT11	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
64585	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64585	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
64585	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
64585	Jan03 cs	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
64585	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
64585	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
64585	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
64585	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64585	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
64585	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64585	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64585	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
64585	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
64585	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
64585	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	5	0
64585	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
64585	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
64585	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
64585	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
64585	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
64585	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
64585	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
64590	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64590	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
64590	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
64590	Jan03 cs	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
64590	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
64590	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
64590	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
64590	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64590	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
64590	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64590	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64590	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
64590	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
64590	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
64590	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	5	0
64590	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
64590	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
64590	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
64590	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
64590	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
64590	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
64590	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
64595	Jan03 cs	"Kit, Pack, Tray"	SA046	"pack, drapes, laparotomy (chest-abdomen)"	pack	21.4035	1	0
64595	Jan03 cs	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64595	Jan03 cs	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992	1	1
64595	Jan03 cs	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
64595	Jan03 cs	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
64595	Jan03 cs	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
64595	Jan03 cs	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
64595	Jan03 cs	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64595	Jan03 cs	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
64595	Jan03 cs	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64595	Jan03 cs	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64595	Jan03 cs	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
64595	Jan03 cs	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
64595	Jan03 cs	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
64595	Jan03 cs	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	5	0
64595	Jan03 cs	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
64595	Jan03 cs	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
64595	Jan03 cs	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	0
64595	Jan03 cs	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
64595	Jan03 cs	"Pharmacy, NonRx"	SJ011	bulb syringe (Asepto)	item	1.2025	1	0
64595	Jan03 cs	"Pharmacy, NonRx"	SJ017	DuraPrep surgical soln (26ml uou)	item	7.9525	1	0
64595	Jan03 cs	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
64600	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64600	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64600	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	1	0
64600	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64605	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64605	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64605	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	1	0
64605	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64610	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64610	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64610	Mar03	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	1	0
64610	Mar03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
64611	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
64611	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64611	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64611	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	4	0
64611	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64611	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	0
64611	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
64611	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	0
64611	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	0
64612	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
64612	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64612	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	1
64612	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
64612	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64612	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
64612	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	3	0
64615	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64615	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64615	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	6	0
64615	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	6	0
64615	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	2	0
64615	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64615	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
64615	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
64615	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	3	0
64616	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64616	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64616	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	9	0
64616	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
64616	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	3	0
64616	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	0
64616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
64616	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	0
64616	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	3	0
64617	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64617	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
64617	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
64617	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
64617	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64617	CMS	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64617	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	0
64617	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64617	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
64617	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	0
64617	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	0
64617	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	0
64617	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	0
64617	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	1	0
64620	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64620	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64620	Mar03	"Accessory, Procedure"	SD083	"gas, nitrous oxide"	liter	0.0152	1	0
64630	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64630	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64630	Mar03	"Kit, Pack, Tray"	SA051	"pack, pelvic exam"	pack	5.919	1	0
64630	Mar03	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	0
64630	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64630	Mar03	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	10	0
64632	CPT09 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64632	CPT09 20	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
64632	CPT09 20	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
64632	CPT09 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64632	CPT09 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64632	CPT09 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
64632	CPT09 20	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
64632	CPT09 20	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
64632	CPT09 20	"Pharmacy, Rx"	SH062	sclerosing solution inj	ml	2.2668	1	0
64632	CPT09 20	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
64632	CPT09 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
64633	CPT12 May 16	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64633	CPT12 May 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
64633	CPT12 May 16	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64633	CPT12 May 16	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64633	CPT12 May 16	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
64633	CPT12 May 16	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	2	0
64633	CPT12 May 16	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	1	0
64633	CPT12 May 16	"Accessory, Procedure"	SD269	Grounding pad	item	2.5925	1	0
64633	CPT12 May 16	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	3	0
64634	CPT12 May 16	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	2	0
64634	CPT12 May 16	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	1	0
64634	CPT12 May 16	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	3	0
64635	CPT12 May 16	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64635	CPT12 May 16	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	0
64635	CPT12 May 16	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
64635	CPT12 May 16	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64635	CPT12 May 16	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
64635	CPT12 May 16	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	2	0
64635	CPT12 May 16	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	1	0
64635	CPT12 May 16	"Accessory, Procedure"	SD269	Grounding pad	item	2.5925	1	0
64635	CPT12 May 16	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	3	0
64636	CPT12 May 16	"Accessory, Procedure"	SD011	cannula (radiofrequency denervation) (SMK-C10)	item	24.8075	2	0
64636	CPT12 May 16	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	1	0
64636	CPT12 May 16	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	3	0
64640	CPT13 MD Time	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64640	CPT13 MD Time	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
64640	CPT13 MD Time	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64640	CPT13 MD Time	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64640	CPT13 MD Time	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
64640	CPT13 MD Time	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	0
64640	CPT13 MD Time	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	1	0
64640	CPT13 MD Time	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
64640	CPT13 MD Time	"Pharmacy, Rx"	SH021	bupivacaine 0.25% inj (Marcaine)	ml	0.3155	5	0
64642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64642	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64642	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
64642	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64642	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	0
64642	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	0
64642	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	8	0
64642	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	0
64643	CPT14 May 15	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64643	CPT14 May 15	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
64643	CPT14 May 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64643	CPT14 May 15	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	0
64643	CPT14 May 15	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	0
64643	CPT14 May 15	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	8	0
64643	CPT14 May 15	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	0
64644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64644	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	6	0
64644	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	6	0
64644	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	6	0
64644	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	12	0
64644	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	24	0
64644	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	24	0
64644	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	6	0
64645	CPT14 May 15	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	6	0
64645	CPT14 May 15	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	6	0
64645	CPT14 May 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	6	0
64645	CPT14 May 15	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	12	0
64645	CPT14 May 15	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	24	0
64645	CPT14 May 15	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	24	0
64645	CPT14 May 15	Lab	SL107	phosphate buffered saline solution	ml	0.0333	6	0
64646	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64646	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
64646	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	4	0
64646	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	6	0
64646	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	5	0
64646	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	0
64646	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
64646	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	0
64647	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64647	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
64647	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	6	0
64647	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	6	0
64647	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	0
64647	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	12	0
64647	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	0
64647	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	0
64650	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64650	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
64650	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
64650	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
64650	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64650	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
64650	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	4	0
64650	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	4	0
64650	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
64650	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
64650	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
64650	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
64650	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
64653	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
64653	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
64653	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
64653	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
64653	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
64653	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
64653	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	4	0
64653	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	4	0
64653	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
64653	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
64653	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
64653	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
64653	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
64680	Mar03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64680	Mar03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
64680	Mar03	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
64680	Mar03	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	10	0
64681	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
64681	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
64681	CMS	"Hypodermic, IV"	SC035	"needle, Chiba"	item	8.8827	1	0
64681	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
64681	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
64681	CMS	"Pharmacy, Rx"	SH055	phenol 1000ppm	ml	0.0842	1	0
64681	CMS	"Pharmacy, Rx"	SH060	renographin-60	ml	0.48	1	0
64702	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64702	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64702	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64704	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64704	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64704	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64708	Apr08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64708	Apr08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64708	Apr08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64712	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64712	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64712	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64713	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64713	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64713	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64714	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64714	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64714	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64716	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64716	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
64716	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
64716	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
64716	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64716	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64716	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
64716	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64716	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
64716	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
64716	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
64716	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
64716	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
64718	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64718	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64718	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64719	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64719	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64719	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64721		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
64721		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
64721		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
64721		"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	4	4
64722	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64722	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64722	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64726	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64726	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64726	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64732	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64732	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64732	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64734	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64734	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64734	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64736	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64736	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64736	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64738	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64738	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64738	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64740	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64740	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2
64740	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
64740	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2
64740	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64740	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64740	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64740	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
64740	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
64740	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64740	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
64742	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64742	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64742	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64744	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64744	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64744	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64746	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64746	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64746	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64755	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64755	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64755	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64760	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64760	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64760	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64763	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64763	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64763	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64766	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64766	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64766	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64771	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64771	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64771	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64772	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64772	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64772	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64774	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64774	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64774	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64776	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64776	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64776	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64782	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64782	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64782	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64784	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64784	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64784	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64786	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64786	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64786	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64788	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64788	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64788	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64790	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64790	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64790	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64792	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64792	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64792	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64802	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64802	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64802	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64804	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64804	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64804	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64809	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64809	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64809	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64818	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64818	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64818	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64820	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64820	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64820	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64821	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64821	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
64822	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64822	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
64823	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64823	Sep02	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
64831	Feb08 ss	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64831	Feb08 ss	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64831	Feb08 ss	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64834	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2
64834	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64834	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64835	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64835	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64835	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64836	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64836	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64836	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64840	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64840	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64840	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64856	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64856	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64856	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64857	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64857	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64857	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64858	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64858	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64858	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64861	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64861	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64861	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64862	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64862	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64862	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64864	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64864	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2
64864	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
64864	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2
64864	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64864	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64864	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64864	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64864	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
64865	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
64865	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64865	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2.5
64865	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2.5
64865	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2.5
64865	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64865	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64865	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2.5
64865	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
64865	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
64865	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64865	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64865	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
64865	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		10
64865	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
64865	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
64865	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
64865	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10
64865	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5
64865	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		12.5
64865	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2.5
64865	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		25
64865	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		12.5
64865	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
64865	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2.5
64866	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
64866	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64866	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2.5
64866	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2.5
64866	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2.5
64866	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64866	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64866	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2.5
64866	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
64866	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
64866	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64866	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64866	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
64866	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		10
64866	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
64866	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
64866	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
64866	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10
64866	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5
64866	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		12.5
64866	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2.5
64866	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		25
64866	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		12.5
64866	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
64866	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2.5
64868	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		1
64868	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64868	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2
64868	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		2
64868	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2
64868	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64868	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64868	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64868	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
64868	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
64868	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64868	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64868	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
64868	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		8
64868	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
64868	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
64868	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
64868	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8
64868	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2
64868	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
64868	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
64868	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
64868	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		10
64868	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
64868	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2
64885	Jan04 21	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64885	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
64885	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
64885	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
64885	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64885	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64885	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
64885	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64885	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
64886	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
64886	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
64886	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		3
64886	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
64886	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		2
64886	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		2
64886	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
64886	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
64886	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
64890	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64890	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64890	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64891	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64891	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64891	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64892	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64892	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64892	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64893	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64893	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64893	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64895	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64895	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64895	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64896	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64896	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64896	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64897	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64897	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64897	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64898	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64898	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64898	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64905	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64905	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64905	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64907	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
64907	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64907	Sep02	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64910	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64910	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
64910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64910	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
64910	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64910	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64910	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
64910	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
64910	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
64910	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
64910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
64910	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
64910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
64911	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64911	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64911	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
64911	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64911	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
64911	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64911	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64911	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
64911	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
64911	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
64911	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
64911	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
64911	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
64911	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
64912	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
64912	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
64912	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
64912	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
64912	RUC	"Wound Care, Dressings"	SG012	"bandage, elastic wrap 4in (Ace)"	item	1.0143		1
64912	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
64912	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847		2
64912	RUC	"Wound Care, Dressings"	SG025	"cast, padding 4in x 4yd (Webril)"	item	1.6122		2
64912	RUC	"Wound Care, Dressings"	SG029	"casting tape, fiberglass 4in x 4yd"	item	12.454		1
64912	RUC	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592		1
64912	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		4
64912	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
64912	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267		1
64912	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198		6
65091	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
65091	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65091	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65091	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65091	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65091	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65091	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65091	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65091	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65091	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65093	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
65093	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65093	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65093	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65093	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65093	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65093	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65093	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65093	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65093	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65093	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65101	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
65101	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65101	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65101	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65101	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65101	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65101	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65101	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65101	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65101	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65101	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65101	Sep02	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838		1
65103	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
65103	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65103	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65103	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65103	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65103	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65103	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65103	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65103	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65103	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65103	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65105	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
65105	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65105	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65105	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65105	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65105	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65105	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65105	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65105	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65105	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65105	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65110	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5.5
65110	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65110	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65110	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65110	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65110	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65110	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65110	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65110	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65110	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65110	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65112	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		6.5
65112	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65112	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65112	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65112	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65112	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65112	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65112	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65112	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65112	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65112	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65114	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		6.5
65114	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65114	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
65114	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
65114	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
65114	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
65114	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65114	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65114	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65114	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
65114	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
65125	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65125	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
65125	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65125	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
65125	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
65125	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
65125	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65125	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65125	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65125	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
65125	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
65125	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
65125	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65125	CMS	"Accessory, Procedure"	SD107	"peg, for prosthetic ocular implant"	item	58.333	1	0
65125	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
65125	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
65125	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
65125	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
65125	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
65125	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
65125	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65125	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
65125	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
65125	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
65130	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
65130	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65130	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65130	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65130	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65130	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65130	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65135	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
65135	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65135	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65135	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65135	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65135	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65135	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65140	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
65140	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65140	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65140	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65140	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65140	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65140	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65150	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
65150	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65150	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65150	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65150	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65150	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65150	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65155	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
65155	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65155	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65155	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65155	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65155	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65155	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65175	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
65175	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
65175	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
65175	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
65175	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65175	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
65175	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
65210	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65210	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
65220	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65222	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65235	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
65235	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
65235	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
65235	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
65235	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
65235	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.6
65235	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65235	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
65235	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
65260	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331		1
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867		1
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775		1
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
65260	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		420
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.6
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65260	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
65260	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
65260	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.0033		10
65265	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5.5
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331		1
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867		1
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775		1
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
65265	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		432
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.7
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65265	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
65265	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		50
65265	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.0033		10
65270	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65270	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	2	1
65270	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65270	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
65270	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
65270	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
65270	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65270	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65272	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65272	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2.5	1.5
65272	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3.5	2.5
65272	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65272	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65272	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65272	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65272	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65272	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65272	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65272	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
65272	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
65272	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
65272	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65272	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	0.5	0
65272	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65273	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2.5
65275	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65275	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
65275	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65275	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65275	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65275	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65275	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65275	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
65275	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65275	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65280	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
65285	Feb08 ss	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		7
65286	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
65286	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65286	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65286	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65286	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65286	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65286	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
65286	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
65286	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65286	CMS	"Pharmacy, Rx"	SH076	"adhesive, cyanoacrylate (2ml uou).doc"	item	29.5785	1	0
65286	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65286	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	62.7875	1	0
65290	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
65400	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5.5	4.5
65400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65400	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65400	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65400	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65400	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65400	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65400	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
65400	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65410	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65410	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65410	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65410	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65410	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65420	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5	4
65420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65420	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65420	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65420	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
65420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
65420	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65420	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
65420	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
65420	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65420	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
65420	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65426	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65426	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5	4
65426	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65426	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65426	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65426	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65426	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65426	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65426	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65426	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65426	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
65426	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
65426	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65426	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	2	0
65426	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
65426	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65426	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4.5	0
65426	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65430	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65430	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65435	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65435	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65436	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3	2
65436	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
65450	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3.5	2.5
65450	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65600	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2.5	0
65600	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
65600	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	2	0
65600	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
65600	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
65600	CMS	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515	0.4	0
65600	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	40	0
65600	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075	2	0
65600	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
65600	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	60	0
65600	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	70	0
65710	CPT09 rv	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		6
65710	CPT09 rv	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65710	CPT09 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		27
65730	CPT09 rv	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
65730	CPT09 rv	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65730	CPT09 rv	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		5
65750	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
65750	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65750	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		27
65755	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
65755	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65755	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		27
65756	CPT09 21	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
65756	CPT09 21	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
65770	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		6.5
65770	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65770	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65770	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65770	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65770	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		35
65772	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3.5	2.5
65772	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65772	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65772	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65772	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65772	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65772	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65772	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65772	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65772	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65772	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
65772	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65775	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
65775	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65775	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		21
65778	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65778	CMS	"Accessory, Procedure"	SD248	human amniotic membrane allograft mounted on a non-absorbable self-retaining ring	item	986.2275	1	0
65779	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65779	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65779	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65779	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65779	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
65779	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	11.84	1	0
65779	CMS	"Accessory, Procedure"	SD247	human amniotic membrane allograft	item	695.3325	1	0
65779	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	1	0
65779	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65779	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
65779	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65780	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5
65780	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
65780	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2
65781	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		10
65781	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
65782	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		9
65782	Sep02	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
65785	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65785	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	4
65785	CMS	"Kit, Pack, Tray"	SA120	intrastromal corneal ring	pair	1145	1	0
65785	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65785	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65785	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65785	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
65785	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
65785	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
65785	CMS	"Hypodermic, IV"	SC104	"suture, nylon, 10-0"	item	11.84	1	0
65785	CMS	"Accessory, Procedure"	SD307	"patient/laser interface (single-use, disposable)"	item	172.5	1	0
65785	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
65785	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
65785	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65785	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
65785	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
65785	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		1	0
65800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65800	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
65800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
65800	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
65800	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
65800	CMS	Lab	SL032	culture media	ml	0.0147	4	0
65800	CMS	Lab	SL238	"slide, glass, (plain blank slide)"	item	0.313	2	0
65810	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
65815	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
65815	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
65815	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
65815	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
65815	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
65815	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
65815	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
65815	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
65815	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
65815	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	0
65815	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
65815	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
65815	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
65815	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
65815	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	62.7875	1	0
65820	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5
65820	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		8
65820	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
65820	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
65820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
65820	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.8
65820	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		80
65820	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		4
65820	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
65820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
65820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
65850	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
65850	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65850	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65850	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65850	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		24
65855	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
65855	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
65855	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
65860	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
65860	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
65860	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
65865	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
65865	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65865	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65865	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65865	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
65870	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
65870	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65870	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65870	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65870	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
65875	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
65875	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65875	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65875	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65875	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
65880	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
65880	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65880	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65880	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65880	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
65900	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
65900	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65900	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
65900	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		40
65900	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		2
65900	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		27
65920	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
65920	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65920	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65920	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65920	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
65930	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
65930	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
65930	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
65930	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
65930	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		24
66020	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
66020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
66020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
66020	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
66020	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
66020	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
66020	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
66020	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	0
66020	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
66030	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
66030	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
66030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
66030	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
66030	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
66030	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
66030	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
66030	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	0
66030	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	0
66130	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
66130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
66130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
66130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
66130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
66130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
66130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
66130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
66130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
66130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
66130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
66130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
66130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
66130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
66130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
66130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
66130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
66150	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		7
66150	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66150	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
66150	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
66155	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		7
66155	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66155	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
66155	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
66160	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		7
66160	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66160	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
66160	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
66170	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
66170	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66170	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595		1
66172	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		6
66172	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66172	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595		2
66174	CPT11 14	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
66175	CPT11 14	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
66179	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
66179	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66179	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66179	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
66180	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
66180	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66180	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66180	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
66183	CPT14 May 16	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		8
66184	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
66184	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
66184	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66184	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
66185	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
66185	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
66185	RUC	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66185	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
66220	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331		1
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867		1
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775		1
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
66220	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		420
66220	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.6
66220	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
66220	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
66220	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66220	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1
66220	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
66220	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
66220	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.0033		10
66225	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66225	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
66225	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		24
66250	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
66250	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
66250	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
66250	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
66250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
66250	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
66250	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
66250	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
66250	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	0
66250	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
66250	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
66250	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
66250	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
66250	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
66250	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
66250	CMS	"Pharmacy, Rx"	SH082	"hyaluronic acid viscoelastic inj (Amvisc, 0.5ml uou)"	item	62.7875	1	0
66500	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2.5
66500	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		4
66500	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		2
66500	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		2
66500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
66500	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
66500	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		40
66500	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		2
66500	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
66500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		70
66505	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
66505	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		4
66505	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		2
66505	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		2
66505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		24
66505	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
66505	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		40
66505	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		2
66505	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66505	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		60
66505	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		70
66600	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66600	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		8
66600	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
66600	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
66600	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
66600	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.8
66600	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		80
66600	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		4
66600	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66600	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
66600	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
66605	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66605	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66605	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.2
66605	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		40
66605	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		2
66605	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		27
66625	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
66630	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
66635	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
66680	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
66680	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
66680	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
66680	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
66680	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
66682	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
66682	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		8
66682	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
66682	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
66682	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
66682	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.8
66682	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		80
66682	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		4
66682	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66682	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
66682	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
66700	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66700	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66700	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
66700	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66710	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66710	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66710	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
66710	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66711	CPT05	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66720	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66720	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66720	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
66720	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66740	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66740	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66740	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
66740	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66761	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66761	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
66761	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66761	CMS	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075	1	0
66761	CMS	"Pharmacy, Rx"	SH097	Pilocarpine 2%	ml	3.0897	1	0
66762	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66762	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66762	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66770	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66770	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
66770	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
66770	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	3
66820	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2.5
66820	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		8
66820	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
66820	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
66820	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
66820	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.8
66820	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		4
66820	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		80
66820	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66820	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
66820	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
66821		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3	2
66821		"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	1
66821		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
66825	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66825	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		8
66825	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		4
66825	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
66825	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
66825	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.8
66825	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		4
66825	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		80
66825	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
66825	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
66825	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
66830	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
66840	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
66850	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66852	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66920	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
66930	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66930	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
66940	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66940	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		15
66982	CPT13 Mar 6	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		2
66982	CPT13 Mar 6	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2
66983	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
66984	CPT13 Mar 6	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		2
66984	CPT13 Mar 6	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2
66985	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
66986	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67005	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67010	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67015	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
67015	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
67015	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67015	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
67015	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
67015	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.6
67015	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
67015	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
67015	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67015	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
67015	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
67025	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	5	4
67025	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67025	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67025	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
67025	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67025	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67025	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67025	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	5.3975	1	0
67025	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67025	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	0
67025	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
67025	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67025	CMS	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	3.8472	10	0
67025	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
67025	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
67025	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67027	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67028	CPT11 58	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
67028	CPT11 58	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67028	CPT11 58	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67028	CPT11 58	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67028	CPT11 58	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
67028	CPT11 58	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
67028	CPT11 58	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67030	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67030	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
67030	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67030	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
67030	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
67030	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.5
67030	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
67030	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
67030	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67030	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
67030	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
67031	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	3.5	2.5
67031	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
67031	CMS	"Pharmacy, Rx"	SH044	Iopidine 1% ophth soln (0.1ml uou)	item	11.9123	1	0
67036	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67039	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67040	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67041	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67042	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67043	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67101	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67101	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	2	2
67101	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67101	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67101	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67101	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67101	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67101	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67101	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67101	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67105	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	2	2
67105	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67105	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67105	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	0.1	0
67105	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67107	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67108	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67110	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67110	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	6	6
67110	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67110	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67110	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
67110	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67110	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67110	RUC	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	5.3975	1	0
67110	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
67110	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	3	0
67110	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	3	0
67110	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67110	RUC	"Accessory, Procedure"	SD080	"gas, intraocular C3F8 (ISPAN) (per dose)"	item	3.8472	5	0
67110	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67110	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
67110	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67113	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
67115	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3.5
67120	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67120	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4.5	3.5
67120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67120	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67120	CMS	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	0
67120	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67120	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67120	CMS	"Gown, Drape"	SB045	"drape, sterile, incise, ophthalmic"	item	5.3975	1	0
67120	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67120	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67120	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
67120	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67120	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.6562	1	0
67120	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	25.3197	1	0
67120	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67120	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
67120	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67121	Mar03 10	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67141	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
67141	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67141	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67141	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67141	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67141	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67141	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
67141	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67141	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.6562	1	0
67141	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67141	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
67145	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
67145	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67145	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
67145	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	0.1	0
67145	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67208	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
67208	Sep02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
67208	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	1
67208	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67208	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67208	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	24
67208	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67210	CPT12 MD Time	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
67210	CPT12 MD Time	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
67218	CPT15 FTD Migration	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331		1
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		2
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867		1
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775		1
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		1
67218	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		420
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.6
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		1
67218	CPT15 FTD Migration	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19		1
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
67218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		45
67218	CPT15 FTD Migration	Lab	SL020	bleach	ml	0.0033		10
67220	CPT12 MD Time	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	4	3
67220	CPT12 MD Time	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
67221	Feb05 I	"Kit, Pack, Tray"	SA049	"pack, ocular photodynamic therapy"	pack	19.5938	1	0
67221	Feb05 I	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
67221	Feb05 I	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
67227	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	2	1
67227	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
67227	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
67227	CMS	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.6562	1	0
67227	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67227	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67227	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67227	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
67227	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67228	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	2	1
67228	CMS	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	1	0
67229	CPT08 H	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
67250	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
67250	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
67250	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67250	Sep02	"Pharmacy, Rx"	SH057	prednisolone acet 1% oph soln (5ml uou)	item	6.7075		6
67250	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67250	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
67250	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
67255	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
67255	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
67255	RUC	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713		1
67255	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		10
67311	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
67311	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67311	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67311	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67311	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67311	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67311	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		5
67312	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
67312	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67312	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67312	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67312	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67312	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67312	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
67314	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
67314	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67314	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67314	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67314	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67314	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67314	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
67316	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
67316	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67316	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67316	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67316	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67316	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67316	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
67318	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
67318	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67318	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67318	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67318	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67318	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67318	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
67343	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
67343	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		1
67343	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		1
67343	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		36
67343	Sep02	"Pharmacy, Rx"	SH011	atropine 1% ophth	ml	0.2515		0.4
67343	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67343	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		40
67345	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67345	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67345	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
67345	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
67345	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.01	1	0
67345	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67400	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4.5
67400	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67400	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
67400	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
67400	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
67400	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
67400	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
67400	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67400	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67400	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
67400	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
67405	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67405	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67405	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
67405	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
67405	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
67405	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
67405	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
67405	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67405	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67405	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
67405	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
67412	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		2.5
67412	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67412	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67412	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67412	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67412	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67412	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67412	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67412	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67412	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67412	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67413	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67413	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67413	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		12
67413	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		6
67413	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
67413	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
67413	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
67413	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67413	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67413	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
67413	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
67414	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		3
67414	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67414	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67414	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67414	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67414	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67414	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67414	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67414	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67414	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67414	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67420	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67420	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67420	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67420	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67420	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67420	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67420	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67420	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67420	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67420	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67420	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67430	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
67430	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67430	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67430	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67430	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67430	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67430	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67430	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67430	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67430	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67430	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67440	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5.5
67440	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67440	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67440	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67440	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67440	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67440	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67440	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67440	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67440	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67440	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67445	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67445	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67445	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67445	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67445	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67445	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67445	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67445	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67445	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67445	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67445	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67450	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
67450	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67450	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67450	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67450	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67450	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67450	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67450	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67450	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67450	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67450	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67500	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
67500	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	1	0
67500	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
67500	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
67500	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.6562	1	0
67500	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	4	0
67500	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
67505	RUC	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
67505	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	2	0
67505	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67505	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
67505	RUC	"Hypodermic, IV"	SC081	"needle, retrobulbar (Atkinson)"	item	1.6562	1	0
67505	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	4	0
67505	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
67505	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	1	0
67515	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	1	0
67515	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
67515	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
67515	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	4	0
67515	RUC	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
67550	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67550	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
67550	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
67550	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67550	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
67550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
67560	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
67560	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		14
67560	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		6
67560	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		120
67560	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67560	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		200
67560	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		226
67570	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		4
67570	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
67570	Sep02	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445		16
67570	Sep02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555		8
67570	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		8
67570	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		96
67570	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		8
67570	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		160
67570	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
67570	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		240
67570	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		260
67700	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67700	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67700	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67700	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67700	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67700	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67700	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67700	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67700	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67700	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67700	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67700	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67700	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67700	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67700	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67700	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67700	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67700	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67700	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67700	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67700	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67700	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67700	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67700	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67700	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67700	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67700	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67700	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67710	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67710	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67710	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67710	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67710	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67710	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67710	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67710	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67710	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67710	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67710	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67710	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67710	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67710	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67710	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67710	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67710	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67710	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67710	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67710	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67710	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67710	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67710	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67710	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67710	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67710	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67715	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67715	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67715	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67715	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67715	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67715	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67715	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67715	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67715	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67715	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67715	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67715	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67715	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67715	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67715	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67715	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67715	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67715	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67715	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67715	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67715	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67715	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67715	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67715	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67715	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67715	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67800	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1.5	0.5
67800	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67800	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67800	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67800	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67800	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	0
67800	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	3	0
67800	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
67801	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1.5	0.5
67801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67801	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67801	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67801	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67801	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	0
67801	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
67801	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	0
67805	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67805	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67805	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67805	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67805	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67805	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	0
67805	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	5	0
67805	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	7	0
67808	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		2.5
67810	CPT13 May 21	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
67810	CPT13 May 21	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
67810	CPT13 May 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67810	CPT13 May 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
67810	CPT13 May 21	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
67810	CPT13 May 21	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67810	CPT13 May 21	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67810	CPT13 May 21	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	20	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG033	"dressing, 12-7mm (Gelfoam)"	item	9.8755	1	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67810	CPT13 May 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
67810	CPT13 May 21	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
67810	CPT13 May 21	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
67810	CPT13 May 21	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	1	0
67810	CPT13 May 21	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67810	CPT13 May 21	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
67810	CPT13 May 21	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67825	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67825	Mar03 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
67825	Mar03 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67825	Mar03 10	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67825	Mar03 10	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67825	Mar03 10	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67825	Mar03 10	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67825	Mar03 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67825	Mar03 10	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0
67825	Mar03 10	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67825	Mar03 10	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67825	Mar03 10	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67825	Mar03 10	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67830	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67830	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67830	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67830	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67830	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67830	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67830	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67830	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67830	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67830	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67830	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67830	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67830	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67830	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67830	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67830	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	2	0
67830	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67830	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67830	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67830	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67830	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67830	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67830	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67830	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67830	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67830	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67835	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
67835	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		12
67840	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67840	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67840	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67840	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67840	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67840	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67840	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67840	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67840	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67840	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67840	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67840	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67840	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67840	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67840	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775	1	0
67840	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67840	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67840	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67840	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67850	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67850	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67850	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67850	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67850	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	1	0
67850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67850	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67850	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67850	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67850	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67850	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67850	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67850	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
67850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67850	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67850	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	1	0
67850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67850	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67875	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67875	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
67875	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67875	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67875	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67875	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67875	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67875	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67875	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67875	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67875	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67875	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67875	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67875	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67875	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67875	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67875	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67875	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67875	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67875	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67875	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67875	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67875	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67875	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67880	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67880	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3.5	2.5
67880	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67880	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67880	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67880	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67880	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67880	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67880	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67880	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67880	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67880	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67880	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67880	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67880	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67880	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67880	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67880	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67880	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67880	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67880	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67880	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67880	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67880	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67880	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67880	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67882	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67882	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67882	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67882	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67882	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67882	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67882	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67882	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67882	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67882	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67882	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67882	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67882	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67882	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67882	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67882	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67882	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67882	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67882	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67882	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67882	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67882	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67882	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67882	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67882	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67882	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67900	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67900	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67900	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67900	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67900	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67900	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67900	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67900	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67900	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67900	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67900	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67900	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67900	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67900	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67900	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67900	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67900	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67900	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67900	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67900	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67900	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67900	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67900	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67900	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67900	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67900	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67901	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67901	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	5	4
67901	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67901	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67901	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67901	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67901	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67901	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67901	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
67901	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67901	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67901	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67901	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67901	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	2	0
67901	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67901	CMS	"Cutters, Closures, Cautery"	SF052	"suture, vicryl, 7-0"	item	25.3197	1	0
67901	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	20	0
67901	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67901	CMS	"Wound Care, Dressings"	SG048	"eye shield, fox"	item	0.7775	1	0
67901	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	0
67901	CMS	"Pharmacy, Rx"	SH022	bupivacaine 0.5% inj (Marcaine)	ml	0.11	5	0
67901	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67901	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
67901	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
67901	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67901	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
67901	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
67901	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67901	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67902	RUC05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
67902	RUC05	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
67902	RUC05	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
67903	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67903	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67903	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67903	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67903	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67903	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67903	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67903	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67903	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67903	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67903	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67903	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67903	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67903	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67903	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67903	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67903	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67903	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67903	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67903	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67903	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67903	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67903	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67903	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67903	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67903	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67903	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67904	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67904	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5	4
67904	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67904	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67904	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67904	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67904	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67904	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67904	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67904	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67904	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67904	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67904	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67904	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67904	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67904	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67904	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
67904	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67904	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67904	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67904	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67904	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67904	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67904	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67904	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67904	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67904	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67906	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3
67908	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4.5	3.5
67908	CMS	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073	1	1
67908	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	22	0
67908	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
67908	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
67908	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	3	0
67908	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	60	0
67908	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	0
67908	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	90	60
67908	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	100	10
67909	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67909	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4.5	3.5
67909	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67909	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67909	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67909	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67909	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67909	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67909	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67909	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67909	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67909	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67909	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67909	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67909	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67909	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67909	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67909	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67909	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67909	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67909	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67909	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67909	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67909	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67909	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67909	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67909	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67911	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		3.5
67912	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67912	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67912	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
67912	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67912	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
67912	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67912	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67912	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
67912	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67912	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
67912	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67912	CMS	"Accessory, Procedure"	SD072	"eyelid weight implant, gold"	item	232.4825	1	0
67912	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
67912	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
67912	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
67912	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67912	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	10	0
67912	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67912	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
67914	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67914	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67914	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67914	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67914	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67914	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67914	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67914	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67914	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67914	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67914	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67914	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67914	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67914	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
67914	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67914	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67914	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67914	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67914	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67914	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67914	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67914	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67914	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67914	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67915	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67915	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3	2
67915	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67915	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67915	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67915	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67915	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67915	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67915	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67915	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67915	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67915	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67915	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67915	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67915	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67915	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67915	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67915	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67915	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67915	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67915	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67915	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67915	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67916	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67916	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67916	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67916	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67916	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67916	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67916	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67916	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67916	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67916	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67916	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67916	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67916	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67916	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67916	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
67916	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
67916	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67916	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867	1	0
67916	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67916	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67916	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67916	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67916	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67916	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67916	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67916	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67916	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67917	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67917	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67917	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67917	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67917	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67917	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67917	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67917	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67917	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67917	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67917	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
67917	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67917	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867	1	0
67917	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67917	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67917	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67917	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67917	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	0
67917	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67917	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67917	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67917	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67921	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67921	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67921	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67921	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67921	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67921	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67921	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67921	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67921	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67921	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67921	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67921	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67921	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67921	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	4	0
67921	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67921	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67921	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67921	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67921	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67921	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67921	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67921	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67921	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67922	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3	2
67922	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67922	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67922	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67922	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67922	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67922	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67922	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67922	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67922	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67922	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67922	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67922	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67922	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67922	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67922	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67922	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67922	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67922	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67923	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67923	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67923	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67923	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67923	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67923	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67923	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67923	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67923	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67923	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67923	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67923	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67923	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67923	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67923	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
67923	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
67923	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67923	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867	1	0
67923	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67923	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67923	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67923	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67923	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
67923	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67923	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67923	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67923	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67924	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67924	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67924	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67924	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67924	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67924	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67924	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67924	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67924	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67924	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67924	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67924	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67924	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
67924	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67924	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	3	0
67924	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
67924	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67924	CMS	"Wound Care, Dressings"	SG047	eye shield (fox) and garter	item	0.9867	1	0
67924	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67924	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67924	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67924	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67924	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	20	0
67924	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67924	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67924	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	0
67924	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67930	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67930	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67930	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67930	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67930	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67930	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67930	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67930	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67930	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67930	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67930	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67930	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67930	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67930	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67930	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67930	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67930	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67930	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67930	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67930	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67930	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67930	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67930	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67930	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67930	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67930	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67930	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67930	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67935	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67935	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
67935	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67935	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67935	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67935	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67935	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67935	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67935	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67935	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67935	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67935	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67935	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67935	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67935	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67935	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67935	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67935	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
67935	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67935	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67935	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67935	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67935	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67935	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67935	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67935	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67935	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67935	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67938	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67938	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
67938	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67938	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67938	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67938	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67938	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67938	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67938	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67938	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67938	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67938	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67938	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67938	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67938	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67938	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67938	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67938	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
67938	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67938	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67938	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67938	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67938	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67938	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67950	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67950	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4.5	3.5
67950	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67950	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67950	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67950	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67950	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67950	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67950	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67950	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67950	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67950	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67950	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67950	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67950	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67950	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67950	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67950	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67950	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67950	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67950	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67950	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67950	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67950	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67950	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67950	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67950	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67961	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67961	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4.5	3.5
67961	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67961	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67961	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67961	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67961	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67961	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67961	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67961	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67961	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67961	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67961	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67961	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67961	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67961	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67961	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67961	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67961	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67961	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67961	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67961	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67961	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67961	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67961	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67961	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67961	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67961	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67966	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
67966	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5	4
67966	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
67966	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
67966	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
67966	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
67966	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
67966	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
67966	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
67966	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
67966	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
67966	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
67966	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
67966	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
67966	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
67966	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	0
67966	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
67966	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	4	0
67966	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
67966	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
67966	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
67966	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
67966	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
67966	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
67966	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
67966	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
67966	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
67966	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
67971	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
67973	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5.5
67974	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5.5
67975	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
68020	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68020	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68040	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
68100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
68100	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68100	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68100	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68100	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68100	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68100	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68100	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
68100	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68110	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68110	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68110	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68110	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68110	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68110	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68110	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68110	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
68110	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68115	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68115	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68115	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68115	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68115	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68115	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68115	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68115	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68115	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68115	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68115	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68115	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
68115	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68115	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	1	0
68115	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68130	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4.5	3.5
68130	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68130	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68130	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68130	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68130	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68130	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68130	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68130	CMS	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
68130	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68130	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68130	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
68130	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
68130	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
68130	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68130	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
68130	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68135	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68200	CPT13 MD Time	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
68200	CPT13 MD Time	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
68200	CPT13 MD Time	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
68200	CPT13 MD Time	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	3	0
68320	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68320	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	5	4
68320	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68320	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68320	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68320	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68320	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68320	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68320	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68320	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68320	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68320	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
68320	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	2	0
68320	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
68320	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	2	0
68320	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
68320	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68325	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68326	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68328	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68330	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68330	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	3
68330	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68330	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68330	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68330	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68330	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68330	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68330	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68330	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68330	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68330	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
68330	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
68330	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	20	0
68330	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	2	0
68330	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
68330	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68335	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68340	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3.5	2.5
68340	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68340	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68340	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68340	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68340	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68340	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68340	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68340	CMS	"Accessory, Procedure"	SD158	"conformer, sterile, acrylic"	item	30.75	1	0
68340	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68340	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68340	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
68340	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
68340	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68340	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
68340	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68360	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3.5	2.5
68360	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68360	CMS	"Gown, Drape"	SB010	"drape, sterile, fenestrated 16in x 16in (eye)"	item	3.5812	1	0
68360	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68360	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
68360	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68360	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68360	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68360	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68360	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68360	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
68360	CMS	"Cutters, Closures, Cautery"	SF049	"suture, nylon, 8-0 to 9-0"	item	15.815	1	0
68360	CMS	"Wound Care, Dressings"	SG085	"microsponge, cellulose (10 pack uou)"	item	3.805	1	0
68360	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	2	0
68360	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68362	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68371		"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68371		"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
68400	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
68400	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68400	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68400	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
68400	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
68400	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
68400	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68400	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
68400	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68400	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
68400	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68400	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68400	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68400	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68400	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68400	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
68400	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
68400	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	5	0
68400	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	1	0
68400	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68400	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68400	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
68400	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
68400	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
68400	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68400	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
68400	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
68400	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
68400	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
68420	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
68420	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68420	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68420	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
68420	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
68420	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
68420	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68420	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
68420	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68420	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
68420	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68420	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68420	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68420	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68420	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68420	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
68420	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
68420	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	5	0
68420	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	1	0
68420	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68420	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68420	CMS	"Wound Care, Dressings"	SG067	penrose drain (0.25in x 4in)	item	0.6228	1	0
68420	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
68420	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
68420	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68420	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
68420	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
68420	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
68420	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
68440	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68500	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5.5
68500	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68500	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
68500	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
68500	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68500	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68500	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68500	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
68500	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
68505	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		5.5
68505	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68505	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
68505	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
68505	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68505	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68505	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68505	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
68505	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
68510	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
68510	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
68510	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68510	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
68510	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
68510	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
68510	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68510	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
68510	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68510	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
68510	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68510	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68510	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68510	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68510	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68510	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
68510	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
68510	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	5	0
68510	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	1	0
68510	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68510	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68510	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
68510	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
68510	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68510	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
68510	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
68510	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
68510	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
68520	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		1
68520	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68520	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
68520	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
68520	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68520	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68520	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68520	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
68520	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
68530	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
68530	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68530	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
68530	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
68530	CMS	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
68530	CMS	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	0
68530	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
68530	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
68530	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
68530	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
68530	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68530	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68530	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68530	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68530	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68530	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
68530	CMS	"Cutters, Closures, Cautery"	SF037	"suture, nylon, 4-0 to 6-0, p, ps"	item	6.9655	1	0
68530	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
68530	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	5	0
68530	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	1	0
68530	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68530	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68530	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
68530	CMS	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37	1	0
68530	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68530	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	20	0
68530	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
68530	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	30	0
68530	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
68540	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		5
68540	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68540	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
68540	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
68540	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68540	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68540	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68540	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
68540	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
68550	Sep02	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752		6
68550	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68550	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		6
68550	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		72
68550	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68550	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68550	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68550	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		180
68550	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		200
68700	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68705	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68705	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68705	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68705	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68705	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68705	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68705	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68705	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68705	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68705	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68705	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
68705	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
68705	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68705	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
68705	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68705	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
68705	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68720	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68720	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68720	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
68720	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
68720	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68720	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68720	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68720	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
68720	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
68745	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68745	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68745	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		4
68745	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
68745	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68745	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68745	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68745	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		120
68745	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		130
68750	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4.5
68750	Sep02	"Cutters, Closures, Cautery"	SF006	"blade, surgical, super"	item	2.4073		1
68750	Sep02	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		5
68750	Sep02	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		60
68750	Sep02	"Pharmacy, Rx"	SH027	dexamethasone 0.5% oph oint (4gm uou)	item	6.37		1
68750	Sep02	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958		20
68750	Sep02	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		1
68750	Sep02	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		150
68750	Sep02	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016		165
68760	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68760	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68760	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68760	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68760	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68760	CMS	"Cutters, Closures, Cautery"	SF012	"cautery, bipolar cord"	item	4.7647	1	0
68760	CMS	"Cutters, Closures, Cautery"	SF013	"cautery, bipolar, pencil-handpiece"	item	29.85	1	0
68760	CMS	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68760	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68760	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
68760	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0
68760	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68760	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
68760	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68760	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
68760	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68761	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68761	CMS	"Wound Care, Dressings"	SG070	punctum plug	pair	41.6625	0.5	0
68761	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	0
68761	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68770	Mar03 10	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		4
68801	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68801	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	1
68801	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
68810	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68810	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	1
68810	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68810	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68810	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68810	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68810	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	3	0
68810	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68810	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
68810	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68810	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
68810	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68810	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
68810	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68811	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688		1
68815	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68815	RUC	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	3	2
68815	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
68815	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
68815	RUC	"Gown, Drape"	SB015	"drape, sterile, u-shape"	item	10.1453	1	0
68815	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68815	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
68815	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
68815	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
68815	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68815	RUC	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68815	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68815	RUC	"Accessory, Procedure"	SD179	lacrimal duct stent-tube set	item	72.5775	1	0
68815	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	3	0
68815	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	2	0
68815	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68815	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
68815	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
68815	RUC	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68815	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
68815	RUC	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68815	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
68815	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68816	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
68816	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68816	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
68816	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68816	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
68816	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
68816	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
68816	CMS	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	1	0
68816	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68816	CMS	"Accessory, Procedure"	SD220	"catheter, balloon, lacrimal"	item	365.0975	1	0
68816	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
68816	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	10	0
68816	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68816	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	5	0
68816	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68816	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
68816	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68840	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	2	1
68840	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68840	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68840	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	6	0
68840	CMS	"Pharmacy, Rx"	SH032	erythromycin ophth oint (3.5gm uou)	item	3.1975	1	0
68840	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
68840	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68840	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	5	0
68840	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
68850	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
68850	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
68850	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
68850	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	4	0
68850	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	1	0
68850	CMS	"Pharmacy, Rx"	SH078	balanced salt soln (BSS) (15ml uou)	item	1.7075	1	0
68850	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
69000	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
69000	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69000	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
69000	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
69000	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
69000	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69000	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69000	RUC	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
69000	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69000	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69000	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
69000	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
69000	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
69000	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
69000	RUC	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	2	0
69000	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
69000	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
69000	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69000	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
69000	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
69000	RUC	Lab	SL033	culture swab system (Culturette)	item	0.8887	2	0
69005	Jan03	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	1
69005	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69005	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	1
69005	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
69005	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69005	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69005	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
69005	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69005	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69005	Jan03	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
69005	Jan03	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
69005	Jan03	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	1	0
69005	Jan03	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	1	0
69005	Jan03	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0
69005	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
69005	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	1
69005	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69005	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
69005	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
69005	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.8887	2	0
69020	Jan03	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69020	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69020	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
69020	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69020	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69020	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
69020	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69020	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	1	0
69020	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	2	1
69020	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
69020	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	4	2
69020	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
69020	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69020	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
69020	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	2
69020	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
69020	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	2
69020	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.8887	2	0
69100	RUC	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005	1	0
69100	RUC	"Kit, Pack, Tray"	SA069	"tray, suturing"	tray	8.9723	1	0
69100	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
69100	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
69100	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
69100	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	0
69100	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
69100	RUC	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
69100	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
69100	RUC	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
69100	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
69100	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
69100	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
69100	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
69100	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
69100	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	20	0
69100	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
69100	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
69105	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69105	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69105	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69105	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
69105	Jan03	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
69105	Jan03	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69105	Jan03	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69105	Jan03	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	4	0
69105	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	2	0
69105	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	4	0
69105	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69105	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69105	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
69105	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
69110	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
69110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	2
69110	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
69110	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
69110	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
69110	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
69110	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
69110	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
69110	CMS	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
69110	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
69110	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
69110	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69110	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	1	0
69110	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69110	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
69110	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69110	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69110	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
69110	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	2	0
69110	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
69110	CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	2	2
69110	CMS	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	3	2
69110	CMS	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	3	2
69110	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	3	2
69110	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	4
69110	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
69110	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	90	60
69110	CMS	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6
69110	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	4	0
69110	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
69110	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	10	5
69110	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	3	2
69110	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	0	10
69110	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	30
69110	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69110	CMS	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
69120	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69120	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2
69120	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69120	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2
69120	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		4
69120	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		4
69120	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2
69120	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2
69120	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		4
69120	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69120	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69120	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69120	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		2
69120	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69120	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		6
69120	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69120	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		8
69120	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		2
69120	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2
69120	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		10
69120	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2
69120	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		20
69120	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		10
69120	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69120	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2
69140	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3.5
69140	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69140	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69140	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69140	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69140	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69140	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69140	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69140	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69140	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69140	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69140	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69140	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69140	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69140	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69140	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69140	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69140	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69140	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69140	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69140	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69140	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69140	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69140	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69140	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69140	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69140	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69145	RUC	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
69145	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1.5	1.5
69145	RUC	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
69145	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
69145	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
69145	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
69145	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
69145	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
69145	RUC	"Gown, Drape"	SB046	"drape, sterile, split-sheet"	item	8.8119	1	0
69145	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
69145	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
69145	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69145	RUC	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
69145	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69145	RUC	"Cutters, Closures, Cautery"	SF008	"blade, surgical 64,65,67 (Beaver)"	item	2.4977	1	0
69145	RUC	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
69145	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69145	RUC	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69145	RUC	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
69145	RUC	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	1
69145	RUC	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469	2	1
69145	RUC	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725	2	1
69145	RUC	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	2	1
69145	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	0	4
69145	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
69145	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	1	0
69145	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	60	30
69145	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	0	6
69145	RUC	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	8	4
69145	RUC	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
69145	RUC	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.4205	10	0
69145	RUC	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	10	5
69145	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2.5	1.5
69145	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	0	10
69145	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	50	30
69145	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69145	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
69150	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69150	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69150	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69150	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69150	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69150	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69150	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69150	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69150	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69150	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69150	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69150	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69150	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69150	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69150	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69150	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69150	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69150	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69150	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69150	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69150	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69150	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69150	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69150	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69150	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69155	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69155	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		5
69155	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69155	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		5
69155	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
69155	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		10
69155	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
69155	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
69155	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		10
69155	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69155	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69155	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69155	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		5
69155	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69155	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
69155	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69155	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20
69155	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		5
69155	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
69155	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
69155	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
69155	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
69155	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
69155	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69155	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		5
69200	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
69200	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69200	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69200	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
69200	RUC	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	1	0
69200	RUC	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	3	0
69200	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	2	0
69200	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69200	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	50	0
69205	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
69205	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
69205	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
69205	Jan03	Infection Control	SM025	"specula tips, otoscope"	item	0.135		1
69209	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
69209	RUC	"Accessory, Procedure"	SD308	earwash bottle disposable tips	item	1.72	1	
69209	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
69209	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
69209	RUC	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	15	
69209	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
69210	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.8793	2	0
69210	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
69210	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69210	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
69220	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69220	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69220	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
69220	RUC	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	2	0
69220	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69220	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	2	0
69222	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69222	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
69222	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69222	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69222	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
69222	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69222	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	1	0
69222	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
69222	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	4	2
69222	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
69222	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69222	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
69222	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	2
69222	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
69222	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	2
69222	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.8887	2	0
69222	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
69300	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
69300	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
69300	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
69300	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
69300	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
69300	CMS	"Cutters, Closures, Cautery"	SF018	"cautery, monopolar, electrode, needle"	item	2.179	1	0
69300	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69300	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69300	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	0
69300	CMS	"Cutters, Closures, Cautery"	SF035	"suture, chromic, 2-0 to 5-0"	item	6.0183	1	0
69300	CMS	"Cutters, Closures, Cautery"	SF038	"suture, prolene, 3-0 to 7-0, p, ps, pc"	item	11.5175	2	0
69300	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
69300	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	25	0
69300	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	12	0
69300	CMS	"Wound Care, Dressings"	SG032	dental rolls	item	0.025	4	0
69300	CMS	"Wound Care, Dressings"	SG041	"dressing, 5in x 9in (Xeroform)"	item	1.592	2	0
69300	CMS	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	1	0
69300	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
69300	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	10	0
69300	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
69300	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	1	0
69300	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
69300	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
69310	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69310	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69310	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69310	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69310	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69310	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69310	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69310	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69310	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69310	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69310	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69310	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69310	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69310	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69310	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69310	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69310	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69310	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69310	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69310	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69310	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69310	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69310	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69310	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69310	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69310	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69310	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69320	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		5
69320	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		5
69320	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69320	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		5
69320	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69320	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		5
69320	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
69320	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		10
69320	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
69320	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
69320	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		10
69320	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69320	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69320	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69320	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		5
69320	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69320	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
69320	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69320	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20
69320	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		5
69320	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
69320	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
69320	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
69320	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
69320	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
69320	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69320	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		5
69420	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69420	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69420	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
69420	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69420	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69420	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69420	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69420	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69420	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
69421	Jan03	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		1
69421	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
69421	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
69421	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008		1
69421	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
69424	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69424	CMS	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69424	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
69424	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69424	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
69424	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	0
69424	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69424	CMS	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
69433	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69433	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69433	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
69433	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69433	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69433	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69433	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69433	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69433	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
69436	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		1
69436	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		2
69436	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375		2
69436	Jan03	Infection Control	SM025	"specula tips, otoscope"	item	0.135		1
69440	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69440	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69440	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69440	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69440	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69440	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69440	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69440	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69440	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69440	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69440	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69440	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69440	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69440	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69440	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69440	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69440	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69440	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69440	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69440	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69440	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69440	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69440	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69440	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69440	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69440	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69450	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		2.5
69450	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69450	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		2.5
69450	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69450	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		2.5
69450	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		5
69450	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		5
69450	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		2.5
69450	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		2.5
69450	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		5
69450	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69450	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69450	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69450	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		2.5
69450	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69450	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		8
69450	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69450	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		10
69450	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		2.5
69450	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		2.5
69450	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		12.5
69450	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		2.5
69450	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		25
69450	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		12.5
69450	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69450	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		2.5
69501	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69501	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69501	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69501	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69501	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69501	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69501	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69501	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69501	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69501	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69501	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69501	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69501	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69501	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69501	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69501	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69501	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69501	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69501	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69501	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69501	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69501	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69501	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69501	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69501	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69502	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69502	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69502	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69502	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69502	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69502	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69502	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69502	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69502	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69502	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69502	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69502	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69502	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69502	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69502	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69502	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69502	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69502	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69502	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69502	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69502	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69502	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69502	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69502	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69502	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69505	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69505	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69505	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69505	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69505	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69505	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69505	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69505	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69505	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69505	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69505	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69505	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69505	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69505	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69505	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69505	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69505	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69505	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69505	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69505	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69505	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69505	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69505	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69505	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69505	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69505	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69505	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69511	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69511	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69511	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69511	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69511	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69511	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69511	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69511	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69511	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69511	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69511	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69511	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69511	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69511	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69511	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69511	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69511	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69511	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69511	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69511	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69511	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69511	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69511	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69511	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69511	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69511	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69511	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69530	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69530	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69530	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69530	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69530	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69530	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69530	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69530	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69530	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69530	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69530	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69530	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69530	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69530	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69530	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69530	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69530	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69530	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69530	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69530	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69530	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69530	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69530	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69530	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69530	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69530	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69530	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69535	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		5
69535	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		5
69535	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69535	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		5
69535	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69535	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		5
69535	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
69535	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		10
69535	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
69535	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
69535	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		10
69535	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69535	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69535	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69535	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		5
69535	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69535	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
69535	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69535	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20
69535	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		5
69535	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
69535	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
69535	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
69535	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
69535	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
69535	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69535	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		5
69540	Jan03	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69540	Jan03	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	2
69540	Jan03	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69540	Jan03	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69540	Jan03	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
69540	Jan03	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69540	Jan03	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37	1	0
69540	Jan03	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	2	1
69540	Jan03	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
69540	Jan03	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	4	2
69540	Jan03	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
69540	Jan03	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69540	Jan03	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	10
69540	Jan03	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	2
69540	Jan03	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	2
69540	Jan03	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	2
69540	Jan03	Lab	SL033	culture swab system (Culturette)	item	0.8887	2	0
69540	Jan03	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
69550	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		3.5
69550	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69550	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69550	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69550	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69550	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69550	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69550	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69550	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69550	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69550	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69550	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69550	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69550	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69550	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69550	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69550	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69550	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69550	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69550	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69550	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69550	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69550	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69550	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69550	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69550	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69550	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69552	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69552	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69552	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69552	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69552	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69552	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69552	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69552	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69552	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69552	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69552	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69552	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69552	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69552	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69552	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69552	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69552	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69552	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69552	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69552	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69552	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69552	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69552	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69552	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69552	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69552	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69552	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69554	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69554	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69554	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69554	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69554	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69554	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69554	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69554	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69554	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69554	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69554	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69554	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69554	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69554	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69554	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69554	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69554	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69554	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69554	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69554	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69554	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69554	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69554	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69554	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69554	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69554	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69554	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69601	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69601	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69601	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69601	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69601	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69601	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69601	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69601	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69601	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69601	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69601	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69601	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69601	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69601	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69601	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69601	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69601	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69601	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69601	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69601	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69601	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69601	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69601	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69601	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69601	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69602	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69602	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69602	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69602	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69602	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69602	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69602	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69602	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69602	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69602	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69602	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69602	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69602	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69602	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69602	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69602	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69602	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69602	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69602	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69602	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69602	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69602	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69602	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69602	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69602	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69602	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69603	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69603	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69603	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69603	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69603	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69603	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69603	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69603	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69603	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69603	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69603	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69603	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69603	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69603	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69603	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69603	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69603	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69603	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69603	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69603	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69603	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69603	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69603	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69603	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69603	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69603	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69603	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69604	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69604	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69604	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69604	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69604	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69604	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69604	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69604	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69604	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69604	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69604	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69604	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69604	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69604	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69604	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69604	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69604	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69604	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69604	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69604	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69604	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69604	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69604	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69604	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69604	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69604	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69605	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69605	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69605	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69605	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69605	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69605	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69605	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69605	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69605	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69605	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69605	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69605	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69605	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69605	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69605	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69605	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69605	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69605	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69605	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69605	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69605	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69605	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69605	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69605	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69605	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69605	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69605	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69610	RUC	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69610	RUC	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
69610	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	1
69610	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69610	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69610	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	1
69610	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69610	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69610	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	0
69620	CMS	"Kit, Pack, Tray"	SA023	"kit, phenol applicator"	kit	16.3615	1	0
69620	CMS	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654	2	1
69620	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	2	0
69620	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	4	3
69620	CMS	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	1
69620	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
69620	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
69620	CMS	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	4	0
69620	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	1
69620	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	1
69620	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	1
69620	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
69620	CMS	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	0
69620	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	2	1
69620	CMS	"Accessory, Procedure"	SD122	"suction tip, Yankauer"	item	0.9395	2	1
69620	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	4	2
69620	CMS	"Cutters, Closures, Cautery"	SF016	"cautery, monopolar, electrode tip"	item	0.4068	1	0
69620	CMS	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	0
69620	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
69620	CMS	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
69620	CMS	"Cutters, Closures, Cautery"	SF036	"suture, nylon, 3-0 to 6-0, c"	item	2.6033	1	0
69620	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	2
69620	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
69620	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	3	1
69620	CMS	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	0
69620	CMS	"Pharmacy, Rx"	SH081	Floxin 0.3% otic soln	ml	2.4205	10	5
69620	CMS	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
69620	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	1
69620	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	20	0
69620	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69620	CMS	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	2	1
69631	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69631	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69631	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69631	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69631	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69631	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69631	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69631	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69631	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69631	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69631	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69631	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69631	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69631	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69631	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69631	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69631	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69631	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69631	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69631	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69631	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69631	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69631	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69631	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69631	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69631	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69632	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69632	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69632	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69632	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69632	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69632	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69632	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69632	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69632	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69632	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69632	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69632	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69632	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69632	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69632	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69632	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69632	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69632	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69632	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69632	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69632	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69632	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69632	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69632	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69632	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69632	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69633	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69633	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69633	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69633	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69633	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69633	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69633	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69633	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69633	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69633	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69633	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69633	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69633	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69633	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69633	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69633	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69633	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69633	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69633	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69633	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69633	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69633	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69633	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69633	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69633	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69633	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69635	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4
69635	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69635	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69635	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69635	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69635	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69635	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69635	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69635	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69635	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69635	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69635	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69635	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69635	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69635	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69635	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69635	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69635	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69635	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69635	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69635	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69635	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69635	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69635	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69635	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69635	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69635	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69636	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69636	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69636	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69636	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69636	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69636	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69636	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69636	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69636	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69636	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69636	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69636	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69636	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69636	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69636	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69636	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69636	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69636	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69636	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69636	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69636	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69636	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69636	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69636	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69636	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69636	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69636	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69637	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69637	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69637	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69637	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69637	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69637	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69637	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69637	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69637	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69637	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69637	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69637	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69637	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69637	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69637	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69637	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69637	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69637	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69637	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69637	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69637	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69637	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69637	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69637	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69637	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69637	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69637	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69641	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69641	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69641	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69641	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69641	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69641	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69641	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69641	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69641	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69641	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69641	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69641	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69641	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69641	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69641	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69641	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69641	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69641	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69641	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69641	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69641	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69641	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69641	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69641	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69641	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69641	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69642	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		5
69642	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69642	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		5
69642	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69642	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		5
69642	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		10
69642	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		10
69642	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		5
69642	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		5
69642	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		10
69642	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69642	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69642	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69642	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		5
69642	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69642	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		18
69642	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69642	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		20
69642	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		5
69642	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		5
69642	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		25
69642	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		5
69642	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		50
69642	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		25
69642	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69642	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		5
69643	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69643	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69643	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69643	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69643	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69643	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69643	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69643	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69643	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69643	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69643	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69643	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69643	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69643	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69643	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69643	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69643	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69643	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69643	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69643	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69643	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69643	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69643	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69643	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69643	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69643	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69644	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69644	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69644	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69644	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69644	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69644	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69644	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69644	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69644	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69644	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69644	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69644	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69644	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69644	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69644	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69644	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69644	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69644	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69644	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69644	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69644	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69644	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69644	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69644	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69644	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69644	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69644	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69645	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69645	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69645	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69645	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69645	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69645	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69645	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69645	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69645	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69645	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69645	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69645	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69645	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69645	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69645	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69645	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69645	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69645	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69645	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69645	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69645	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69645	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69645	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69645	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69645	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69645	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69645	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69646	Jan04 21	"Kit, Pack, Tray"	SA042	"pack, cleaning and disinfecting, endoscope"	pack	17.654		4.5
69646	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69646	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69646	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69646	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69646	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69646	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69646	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69646	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69646	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69646	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69646	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69646	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69646	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69646	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69646	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69646	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69646	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69646	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69646	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69646	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69646	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69646	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69646	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69646	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69646	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69646	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69650	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69650	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69650	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69650	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69650	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69650	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69650	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69650	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69650	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69650	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69650	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69650	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69650	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69650	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69650	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69650	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69650	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69650	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69650	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69650	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69650	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69650	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69650	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69650	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69650	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69650	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69660	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69660	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69660	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69660	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69660	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69660	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69660	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69660	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69660	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69660	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69660	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69660	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69660	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69660	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69660	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69660	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69660	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69660	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69660	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69660	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69660	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69660	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69660	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69660	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69660	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69660	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69661	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69661	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69661	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69661	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69661	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69661	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69661	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69661	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69661	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69661	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69661	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69661	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69661	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69661	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69661	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69661	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69661	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69661	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69661	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69661	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69661	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69661	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69661	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69661	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69661	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69661	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69662	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69662	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69662	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69662	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69662	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69662	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69662	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69662	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69662	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69662	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69662	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69662	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69662	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69662	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69662	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69662	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69662	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69662	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69662	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69662	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69662	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69662	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69662	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69662	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69662	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69662	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69666	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69666	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69666	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69666	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69666	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69666	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69666	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69666	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69666	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69666	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69666	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69666	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69666	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69666	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69666	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69666	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69666	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69666	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69666	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69666	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69666	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69666	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69666	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69666	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69666	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69666	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69667	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69667	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69667	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69667	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69667	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69667	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69667	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69667	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69667	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69667	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69667	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69667	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69667	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69667	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69667	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69667	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69667	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69667	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69667	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69667	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69667	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69667	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69667	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69667	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69667	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69667	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69670	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69670	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69670	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69670	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69670	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69670	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69670	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69670	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69670	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69670	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69670	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69670	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69670	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69670	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69670	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69670	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69670	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69670	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69670	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69670	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69670	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69670	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69670	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69670	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69670	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69670	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69676	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69676	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69676	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69676	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69676	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69676	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69676	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69676	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69676	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69676	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69676	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69676	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69676	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69676	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69676	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69676	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69676	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69676	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69676	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69676	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69676	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69676	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69676	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69676	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69676	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69676	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69700	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69700	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69700	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69700	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69700	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69700	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69700	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69700	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69700	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69700	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69700	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69700	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69700	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69700	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69700	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69700	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69700	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69700	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69700	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69700	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69700	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69700	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69700	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69700	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69700	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69711	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69711	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69711	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69711	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69711	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69711	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69711	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69711	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69711	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69711	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69711	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69711	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69711	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69711	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69711	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69711	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69711	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69711	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69711	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69711	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69711	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69711	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69711	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69711	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69711	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69714	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69714	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69714	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69714	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69714	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69714	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69714	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69714	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69714	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69714	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69714	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69714	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69714	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69714	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69714	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69714	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69714	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69714	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69714	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69714	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69714	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69714	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69714	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69714	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69714	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69715	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69715	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69715	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69715	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69715	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69715	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69715	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69715	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69715	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69715	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69715	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69715	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69715	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69715	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69715	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69715	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69715	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69715	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69715	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69715	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69715	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69715	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69715	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69715	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69715	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69717	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69717	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69717	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69717	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69717	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69717	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69717	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69717	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69717	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69717	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69717	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69717	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69717	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69717	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69717	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69717	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69717	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69717	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69717	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69717	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69717	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69717	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69717	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69717	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69717	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69718	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69718	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69718	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69718	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69718	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69718	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69718	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69718	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69718	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69718	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69718	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69718	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69718	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69718	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69718	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69718	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69718	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69718	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69718	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69718	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69718	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69718	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69718	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69718	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69718	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69720	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4.5
69720	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69720	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4.5
69720	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69720	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4.5
69720	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		9
69720	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		9
69720	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4.5
69720	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4.5
69720	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		9
69720	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69720	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69720	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69720	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4.5
69720	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69720	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		16
69720	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69720	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		18
69720	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4.5
69720	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4.5
69720	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		22.5
69720	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4.5
69720	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		45
69720	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		22.5
69720	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69720	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4.5
69725	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69725	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69725	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69725	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69725	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69725	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69725	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69725	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69725	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69725	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69725	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69725	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69725	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69725	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69725	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69725	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69725	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69725	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69725	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69725	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69725	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69725	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69725	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69725	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69725	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69725	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69740	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69740	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69740	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69740	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69740	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69740	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69740	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69740	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69740	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69740	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69740	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69740	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69740	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69740	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69740	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69740	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69740	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69740	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69740	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69740	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69740	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69740	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69740	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69740	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69740	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69740	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69745	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69745	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69745	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69745	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69745	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69745	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69745	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69745	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69745	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69745	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69745	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69745	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69745	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69745	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69745	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69745	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69745	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69745	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69745	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69745	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69745	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69745	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69745	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69745	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69745	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69745	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69801	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
69801	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
69801	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
69801	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
69801	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
69801	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
69801	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	0
69801	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
69801	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
69801	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
69801	CMS	"Accessory, Procedure"	SD214	"tubing, suction, non-latex (2ft) with Frazier tip (1)"	item	13.48	1	0
69801	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	1	0
69801	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	1	0
69801	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
69801	CMS	"Pharmacy, Rx"	SH088	"phenol, liquified, USP"	ml	0.2215	1	0
69801	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
69801	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
69801	CMS	Lab	SL038	"cup-container, sterile, graduated 1000ml"	item	1.1425	1	0
69805	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69805	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69805	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69805	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69805	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69805	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69805	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69805	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69805	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69805	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69805	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69805	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69805	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69805	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69805	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69805	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69805	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69805	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69805	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69805	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69805	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69805	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69805	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69805	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69805	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69806	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69806	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69806	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69806	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69806	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69806	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69806	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69806	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69806	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69806	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69806	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69806	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69806	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69806	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69806	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69806	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69806	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69806	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69806	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69806	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69806	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69806	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69806	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69806	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69806	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69905	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3.5
69905	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69905	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69905	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69905	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69905	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69905	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69905	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69905	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69905	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69905	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69905	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69905	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69905	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69905	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69905	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69905	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69905	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69905	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69905	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69905	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69905	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69905	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69905	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69905	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69905	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69910	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69910	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3.5
69910	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69910	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3.5
69910	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		7
69910	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		7
69910	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3.5
69910	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3.5
69910	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		7
69910	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69910	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69910	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69910	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3.5
69910	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69910	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		12
69910	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69910	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		14
69910	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3.5
69910	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3.5
69910	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		17.5
69910	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3.5
69910	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		35
69910	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		17.5
69910	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69910	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3.5
69915	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69915	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69915	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69915	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69915	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69915	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69915	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69915	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69915	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69915	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69915	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69915	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69915	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69915	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69915	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69915	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69915	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69915	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69915	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69915	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69915	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69915	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69915	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69915	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69915	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69930	Feb08 ss	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		3
69930	Feb08 ss	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69930	Feb08 ss	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69930	Feb08 ss	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69930	Feb08 ss	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69930	Feb08 ss	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69930	Feb08 ss	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69930	Feb08 ss	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69930	Feb08 ss	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69930	Feb08 ss	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69930	Feb08 ss	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69930	Feb08 ss	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69930	Feb08 ss	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69930	Feb08 ss	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69930	Feb08 ss	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69930	Feb08 ss	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69930	Feb08 ss	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69930	Feb08 ss	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69930	Feb08 ss	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69930	Feb08 ss	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69930	Feb08 ss	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69930	Feb08 ss	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69930	Feb08 ss	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69930	Feb08 ss	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69930	Feb08 ss	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69930	Feb08 ss	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69950	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69950	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		3
69950	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69950	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		3
69950	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
69950	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		6
69950	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		3
69950	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		3
69950	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		6
69950	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69950	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69950	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69950	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		3
69950	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69950	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		10
69950	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69950	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		12
69950	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		3
69950	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		3
69950	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		15
69950	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		3
69950	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		30
69950	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		15
69950	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69950	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		3
69955	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69955	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69955	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69955	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69955	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69955	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69955	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69955	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69955	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69955	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69955	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		2
69955	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69955	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69955	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69955	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69955	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69955	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		78
69955	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69955	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69955	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69955	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69955	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69955	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69955	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69955	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		2
69955	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69960	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69960	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69960	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69960	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69960	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69960	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69960	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69960	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69960	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69960	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69960	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69960	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69960	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69960	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69960	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69960	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69960	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69960	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69960	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69960	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69960	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69960	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69960	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69960	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69960	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
69970	Jan04 21	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568		4
69970	Jan04 21	"Kit, Pack, Tray"	SA053	"pack, post-op incision care (suture & staple)"	pack	5.95		1
69970	Jan04 21	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335		4
69970	Jan04 21	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		1
69970	Jan04 21	"Gown, Drape"	SB026	"gown, patient"	item	1.2848		4
69970	Jan04 21	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		8
69970	Jan04 21	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193		8
69970	Jan04 21	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525		4
69970	Jan04 21	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085		4
69970	Jan04 21	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037		8
69970	Jan04 21	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035		1
69970	Jan04 21	"Wound Care, Dressings"	SG016	"bandage, Kerlix, sterile 4.5in"	item	1.469		1
69970	Jan04 21	"Wound Care, Dressings"	SG020	"bandage, Kling, sterile 4in"	item	0.8725		1
69970	Jan04 21	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798		4
69970	Jan04 21	"Wound Care, Dressings"	SG042	"dressing, ear (Glasscock)"	item	12.37		1
69970	Jan04 21	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268		14
69970	Jan04 21	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		48
69970	Jan04 21	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562		16
69970	Jan04 21	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236		4
69970	Jan04 21	"Pharmacy, Rx"	SH024	Cipro HC otic soln	ml	10.23		4
69970	Jan04 21	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008		20
69970	Jan04 21	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245		4
69970	Jan04 21	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123		40
69970	Jan04 21	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		20
69970	Jan04 21	"Pharmacy, NonRx"	SJ060	"tincture of benzoin, swab"	item	0.3225		1
69970	Jan04 21	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675		4
70030	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70134	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70140	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70150	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70160	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70190	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70200	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70210	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70220	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70240	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70250	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70260	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70300	CPT15 FTD Migration	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	1	
70310	CPT15 FTD Migration	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	12	
70320	Jan04 8	"Office Supply, Grocery"	SK024	"film, dental"	item	1.1518	16	
70336	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70360	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70370	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70370	Jan04 7	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	1	
70371	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70371	CPT15 FTD Migration	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	1	
70371	CPT15 FTD Migration	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.7538	2	
70380	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70390	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70450	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70450	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70460	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70460	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70460	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70460	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70460	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70460	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70460	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70460	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70460	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70460	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70460	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70460	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
70460	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70460	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70460	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70460	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
70470	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70470	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70470	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70470	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70470	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70470	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70470	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70470	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70470	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70470	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70470	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70470	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
70470	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70470	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70470	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70470	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
70480	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70480	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70481	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70481	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70481	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70481	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70481	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70481	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70481	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70481	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70481	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70481	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70481	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70481	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
70481	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70481	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70481	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70481	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
70482	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70482	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70482	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70482	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70482	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70482	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70482	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70482	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70482	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70482	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70482	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70482	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
70482	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70482	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70482	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70482	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
70486	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70486	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70487	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70487	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70487	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70488	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70488	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70488	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70490	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70490	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70491	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70491	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70491	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70491	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70491	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70491	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70491	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70491	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70491	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70491	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70491	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70492	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70492	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70492	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70492	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70492	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70492	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70492	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70492	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70492	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70492	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70492	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
70496	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
70496	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70496	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70496	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
70496	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
70496	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70496	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
70496	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
70496	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70496	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
70496	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
70498	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
70498	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70498	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70498	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
70498	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
70498	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70498	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
70498	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
70498	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
70498	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
70498	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
70540	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70540	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70540	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70540	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70542	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70542	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70542	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70542	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70542	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70542	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70542	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70542	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70542	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70542	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70542	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70542	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70543	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70543	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70543	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70543	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70543	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70543	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70543	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70543	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70543	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70543	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70543	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70543	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70543	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70544	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70544	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70544	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70544	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70544	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70545	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70545	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70545	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70545	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70545	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70545	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70545	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70545	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70545	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
70545	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
70545	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	
70545	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70545	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70545	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	
70545	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70545	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70546	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70546	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70546	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70546	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70546	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70546	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70546	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70546	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70546	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
70546	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
70546	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	
70546	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70546	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70546	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	
70546	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70546	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70547	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70547	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70547	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70547	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70547	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70548	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70548	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70548	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70548	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70548	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70548	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70548	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70548	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70548	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
70548	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
70548	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	
70548	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70548	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70548	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	
70548	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70548	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70549	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70549	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70549	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70549	RUC	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	
70549	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70549	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70549	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70549	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70549	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
70549	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
70549	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	
70549	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
70549	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70549	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	
70549	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70549	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
70551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70551	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70551	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70552	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70552	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70552	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70552	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70552	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70552	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70552	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70552	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70552	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70552	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70552	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70552	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70552	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70553	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
70553	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
70553	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
70553	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70553	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70553	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
70553	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
70553	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
70553	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
70553	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
70553	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
70553	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
70553	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
70554	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
70554	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
70554	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
71045	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71046	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71047	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71048	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71100	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71101	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71111	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71120	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71130	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71250	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71250	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71260	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
71260	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
71260	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71260	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71260	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
71260	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
71260	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
71260	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
71260	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
71260	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	5	
71260	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
71260	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
71270	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
71270	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
71270	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71270	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71270	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
71270	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
71270	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
71270	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
71270	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
71270	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	5	
71270	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
71270	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
71275	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
71275	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71275	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71275	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
71275	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
71275	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
71275	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
71275	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
71275	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
71275	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
71550	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
71551	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
71551	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
71551	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
71551	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71551	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71551	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
71551	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
71551	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
71551	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
71551	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
71551	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
71551	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
71551	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
71551	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
71551	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
71551	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
71551	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
71552	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
71552	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
71552	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
71552	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71552	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71552	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
71552	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
71552	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
71552	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
71552	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
71552	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
71552	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
71552	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
71552	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
71552	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
71552	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
71552	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
71555	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
71555	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
71555	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
71555	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
71555	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
71555	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
71555	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
71555	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
71555	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
71555	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
71555	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
71555	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
71555	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
71555	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
71555	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
71555	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72020	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72050	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72052	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72070	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72072	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72074	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72081	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72082	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72083	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72084	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72110	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72120	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72125	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72125	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72126	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72126	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72126	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72126	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72126	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72126	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72126	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72126	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72126	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72126	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72126	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72126	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2	
72126	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72126	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72126	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72126	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72127	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72127	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72127	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72127	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72127	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72127	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72127	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72127	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72127	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72127	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72127	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72127	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2	
72127	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72127	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72127	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72127	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72128	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72128	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72129	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72129	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72129	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72129	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72129	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72129	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72129	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72129	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72129	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72129	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72129	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72129	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2	
72129	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72129	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72129	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72129	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72130	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72130	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72130	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72130	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72130	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72130	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72130	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72130	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72130	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72130	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72130	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72130	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	2	
72130	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72130	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72130	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72130	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72131	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72131	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72132	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72132	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72132	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72132	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72132	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72132	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72132	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72132	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72132	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72132	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72132	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72132	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72132	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72132	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72132	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72132	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72133	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72133	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72133	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72133	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72133	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72133	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72133	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72133	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72133	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72133	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72133	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72133	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72133	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72133	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72133	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72133	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72141	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72141	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72141	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72142	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72142	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72142	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72142	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72142	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72142	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72142	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72142	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72142	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72142	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72142	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72142	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72142	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72142	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72146	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72146	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72146	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72147	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72147	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72147	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72147	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72147	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72147	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72147	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72147	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72147	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72147	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72147	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72147	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72147	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72147	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72148	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72148	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72148	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72149	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72149	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72149	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72149	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72149	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72149	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72149	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72149	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72149	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72149	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72149	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72149	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72149	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72149	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72149	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72156	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72156	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72156	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72156	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72156	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72156	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72156	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72156	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72156	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72156	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
72156	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72156	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72156	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72156	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72157	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72157	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72157	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72157	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72157	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72157	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72157	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72157	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72157	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72157	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
72157	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72157	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72157	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72157	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72157	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72158	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72158	CMS	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72158	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72158	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72158	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72158	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72158	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72158	CMS	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72158	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72158	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
72158	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72158	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72158	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72158	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72158	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72159	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72159	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72159	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72159	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72159	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72159	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72159	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72159	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72159	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72159	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72159	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72159	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72159	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72159	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72159	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72159	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72170	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72190	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72191	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
72191	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72191	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72191	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
72191	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
72191	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
72191	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
72191	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
72191	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
72191	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
72192	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72192	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72193	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72193	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
72193	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72193	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72193	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72193	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
72193	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72193	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72193	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72193	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72193	CPT13 May 49	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
72193	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72193	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72193	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
72193	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72193	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72194	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72194	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
72194	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72194	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72194	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72194	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
72194	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72194	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72194	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
72194	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72194	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72194	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72194	CPT13 May 49	"Wound Care, Dressings"	SG059	oto-wick	item	1.523	1	
72194	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
72194	CPT13 May 49	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	15	
72194	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72194	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72194	CPT13 May 49	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
72195	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72195	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72195	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72196	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72196	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72196	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72196	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72196	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72196	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72196	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72196	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
72196	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
72196	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72196	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72197	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72197	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72197	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72197	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72197	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72197	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72197	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72197	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
72197	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
72197	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72197	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72198	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
72198	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
72198	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
72198	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72198	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
72198	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
72198	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
72198	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
72198	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
72198	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
72198	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
72198	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
72198	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
72198	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
72198	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
72198	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
72200	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72202	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
72220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73000	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73010	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73020	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73030	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73050	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73060	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73090	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73092	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73200	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73200	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73201	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73201	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73201	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73201	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73201	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73201	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73201	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73201	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73201	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73201	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73201	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73201	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73201	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73201	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73201	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73201	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73202	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73202	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73202	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73202	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73202	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73202	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73202	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73202	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73202	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73202	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73202	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73202	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73202	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73202	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73202	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73202	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73206	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
73206	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
73206	CPT15 FTD Migration	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
73206	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73206	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73206	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	0.34	
73206	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73218	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73219	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73219	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73219	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73219	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73219	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73219	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73219	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73219	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73219	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73219	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73219	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73219	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73219	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73219	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73219	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73219	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73219	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73220	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73220	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73220	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73220	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73220	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73220	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73220	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73220	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73220	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
73220	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73220	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73220	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73220	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73220	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73220	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73220	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73220	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73221	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73221	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
73221	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73222	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73222	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73222	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73222	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73222	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73222	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73222	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73222	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73222	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73222	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73222	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73222	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73222	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73222	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73222	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73222	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73222	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73223	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73223	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73223	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73223	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73223	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
73223	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73223	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73223	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73223	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73225	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73225	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73225	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73225	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73225	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73225	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73225	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73225	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73225	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73225	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73225	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73225	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73225	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73225	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73225	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73225	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73501	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73502	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73503	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73521	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73522	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73523	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73551	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73552	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73560	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73562	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73564	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73565	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73590	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73592	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73600	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73610	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73620	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73630	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73660	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73700	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73700	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73701	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73701	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73701	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73701	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73701	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73701	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73701	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73701	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73701	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73701	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73701	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73701	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73701	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73701	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73701	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73701	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73702	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73702	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73702	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73702	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73702	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73702	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73702	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73702	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73702	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73702	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73702	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73702	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73702	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73702	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73702	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73702	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73706	CPT15 FTD Migration	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
73706	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
73706	CPT15 FTD Migration	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
73706	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73706	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73706	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	0.34	
73706	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73718	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73718	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73718	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73719	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73719	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73719	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73719	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73719	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73719	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73719	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73719	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
73719	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73719	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73719	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73720	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73720	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73720	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73720	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73720	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73720	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73720	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73720	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
73720	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
73720	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73720	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73721	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73721	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
73721	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73722	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73722	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73722	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73722	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73722	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73722	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73722	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73722	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73722	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
73722	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73722	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73722	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73722	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73722	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73722	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73722	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73722	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73723	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73723	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73723	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73723	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73723	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73723	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73723	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73723	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73723	Aug03 7	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
73723	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73723	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73723	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73723	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73723	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73723	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73723	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73723	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
73725	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
73725	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
73725	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
73725	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
73725	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
73725	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
73725	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
73725	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
73725	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74018	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74019	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74021	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74150	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74150	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74160	CPT15 FTD Migration	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74160	CPT15 FTD Migration	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
74160	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74160	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74160	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74160	CPT15 FTD Migration	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
74160	CPT15 FTD Migration	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74160	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
74160	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74160	CPT15 FTD Migration	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
74170	CPT13 May 49	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74170	CPT13 May 49	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
74170	CPT13 May 49	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74170	CPT13 May 49	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74170	CPT13 May 49	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74170	CPT13 May 49	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
74170	CPT13 May 49	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74170	CPT13 May 49	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74170	CPT13 May 49	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
74170	CPT13 May 49	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74170	CPT13 May 49	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74170	CPT13 May 49	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74170	CPT13 May 49	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
74170	CPT13 May 49	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
74170	CPT13 May 49	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74170	CPT13 May 49	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
74170	CPT13 May 49	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74170	CPT13 May 49	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
74174	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
74174	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74174	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74174	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
74174	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
74174	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74174	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
74174	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
74174	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74174	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
74175	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
74175	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74175	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74175	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
74175	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
74175	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74175	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
74175	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
74175	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74175	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
74176	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74176	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74176	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
74177	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74177	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
74177	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74177	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74177	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74177	RUC	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
74177	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74177	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74177	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	9.0638	1	
74177	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74177	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74177	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74177	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
74177	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74177	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	15	
74177	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
74177	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74177	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
74178	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74178	RUC	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
74178	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74178	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74178	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74178	RUC	"Hypodermic, IV"	SC002	angiocatheter set	item	11.944	1	
74178	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74178	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74178	RUC	"Hypodermic, IV"	SC025	"needle, 14-20g, biopsy"	item	9.0638	1	
74178	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74178	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
74178	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74178	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
74178	RUC	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	6	
74178	RUC	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	15	
74178	RUC	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
74178	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74178	RUC	"Office Supply, Grocery"	SK076	slide sleeve (photo slides)	item	0.2115	1	
74181	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74181	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74181	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
74182	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74182	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74182	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74182	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74182	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
74182	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74182	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74182	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
74182	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
74182	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
74182	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
74183	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74183	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74183	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74183	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74183	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
74183	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74183	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74183	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
74183	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
74183	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
74183	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
74185	Aug03 7	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
74185	Aug03 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74185	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74185	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74185	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74185	Aug03 7	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
74185	Aug03 7	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
74185	Aug03 7	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74185	Aug03 7	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74185	Aug03 7	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74185	Aug03 7	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
74185	Aug03 7	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
74185	Aug03 7	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
74185	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
74185	Aug03 7	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
74185	Aug03 7	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74210	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74210	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	150	
74220	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74220	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.741	1	
74220	RUC	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	100	
74220	RUC	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.099	1	
74230	RUC	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.741	1	
74230	RUC	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.1852	60	
74230	RUC	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.0283	60	
74230	RUC	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.2203	60	
74230	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
74230	RUC	"Office Supply, Grocery"	SK017	cookie (each)	item	0.0725	1	
74230	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
74230	RUC	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	
74240	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74240	Jan04 7	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	1	
74241	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74241	Jan04 7	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	1	
74245	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74245	Jan04 7	"Pharmacy, Rx"	SH016	barium suspension (Polibar)	ml	0.0235	1	
74246	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74246	CPT15 FTD Migration	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.741	1	
74246	CPT15 FTD Migration	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.099	1	
74247	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74247	Jan04 7	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.741	1	
74247	Jan04 7	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.099	1	
74249	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74249	CPT15 FTD Migration	"Pharmacy, Rx"	SH029	"effervescent granules (Sparkles, EZ Gas) (4gm uou)"	item	2.099	1	
74250	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74250	Jan04 7	"Pharmacy, Rx"	SH013	barium high density susp (11-12oz uou)	item	3.741	1	
74251	CPT15 FTD Migration	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
74251	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74251	CPT15 FTD Migration	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	184.1125	1	
74251	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
74260	Jan04 7	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
74260	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74260	Jan04 7	"Accessory, Procedure"	SD023	"catheter, enteroclysis"	item	184.1125	1	
74260	Jan04 7	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
74261	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	18.325	1	
74261	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74261	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74261	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.817	4	
74262	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	18.325	1	
74262	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74262	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74262	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
74262	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
74262	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
74262	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
74262	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
74262	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.817	4	
74262	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
74262	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	
74262	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
74262	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
74263	RUC	"Kit, Pack, Tray"	SA102	"kit, tubing, use w-automated insufflation, CT colonography"	kit	18.325	1	
74263	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74263	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74263	RUC	"Accessory, Procedure"	SD228	"gas, CO2, use w-automated insufflation, CT colonography"	liter	1.817	4	
74270	CPT15 FTD Migration	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	8.4395	1	
74270	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74270	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
74280	Jan04 7	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
74280	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74280	Jan04 7	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
74283	CPT15 FTD Migration	"Kit, Pack, Tray"	SA073	"kit, barium enema"	kit	8.4395	1	
74283	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74283	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
74290	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74290	Jan04 7	"Pharmacy, Rx"	SH071	Telepaque capsule	item	0.7538	1	
74400	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74400	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74400	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
74400	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	
74410	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74410	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74410	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
74410	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	
74415	CPT15 FTD Migration	"Kit, Pack, Tray"	SA066	"tray, myelogram"	tray	23.0592	1	
74415	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
74415	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74415	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC028	"needle, 18-26g 1.5-3.5in, spinal"	item	4.9755	1	
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
74415	CPT15 FTD Migration	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	
74430	CPT11 Letter	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
74430	CPT11 Letter	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	2	
74440	Mar04 R	"Gown, Drape"	SB014	"drape, sterile, three-quarter sheet"	item	3.7375	1	
74440	Mar04 R	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74440	Mar04 R	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
74440	Mar04 R	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
74440	Mar04 R	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
74440	Mar04 R	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
74455	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
74455	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	2	
74485	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
74485	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
74710	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74712	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
74712	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
74712	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
74740	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
74740	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	2	
75557	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
75557	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
75557	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
75557	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
75557	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
75557	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
75557	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
75557	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
75559	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
75559	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
75559	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
75559	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
75559	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
75559	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
75559	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	5	
75559	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	2	
75559	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
75559	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
75559	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
75559	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
75559	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	
75559	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	
75559	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	4	
75559	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75559	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
75559	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
75559	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	2	
75559	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
75559	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	40	
75561	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
75561	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
75561	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
75561	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
75561	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
75561	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	2	
75561	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
75561	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
75561	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
75561	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
75561	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	4	
75561	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75561	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
75561	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
75561	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	2	
75561	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
75561	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	40	
75563	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
75563	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
75563	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
75563	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
75563	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
75563	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
75563	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	4	
75563	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	4	
75563	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
75563	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
75563	CMS	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
75563	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
75563	CMS	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
75563	CMS	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	
75563	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	
75563	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	4	
75563	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75563	CMS	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
75563	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
75563	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	2	
75563	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
75563	CMS	Lab	SL107	phosphate buffered saline solution	ml	0.0333	40	
75571	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
75571	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	3	
75571	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
75572	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
75572	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
75572	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	3	
75572	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
75572	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	
75572	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
75572	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
75572	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
75572	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75572	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	3	
75572	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
75572	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
75573	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
75573	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
75573	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	3	
75573	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
75573	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	
75573	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
75573	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
75573	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
75573	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75573	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	3	
75573	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
75573	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
75574	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
75574	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
75574	CMS	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	3	
75574	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
75574	CMS	"Accessory, Procedure"	SD145	"cannula, anterior chamber, 18-27g"	item	2.8185	1	
75574	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
75574	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
75574	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
75574	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75574	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	3	
75574	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
75574	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
75600	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
75600	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
75600	Jan04 25	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75600	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
75600	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
75600	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
75600	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
75600	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
75600	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
75600	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
75600	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
75600	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
75600	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
75600	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
75600	Jan04 25	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75600	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
75605	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75605	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75625	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75625	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75630	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75630	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75635	RUC	"Kit, Pack, Tray"	SA114	"Kit, Contrast Imaging"	kit	7.1925	1	
75635	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
75635	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
75635	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
75635	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
75635	RUC	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
75635	RUC	"Hypodermic, IV"	SC059	"syringe, 25ml (MRI power injector)"	item	7.3838	1	
75635	RUC	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
75635	RUC	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
75635	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
75635	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
75635	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
75705	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75705	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75710	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75710	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75716	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75716	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75726	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75726	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75731	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75731	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75733	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75733	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75736	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75736	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75741	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75741	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75743	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75743	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75746	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75746	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75756	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75756	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75809	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75820	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75820	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75822	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75822	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75825	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75825	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75827	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75827	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75831	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75831	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75833	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75833	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75840	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75840	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75842	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75842	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75860	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75860	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75870	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75870	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75872	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75872	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75880	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75880	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75885	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75885	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75887	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75887	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75889	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75889	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75891	Jan04 9	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75891	Jan04 9	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75893	CPT15 FTD Migration	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
75893	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75901	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	3	
75902	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	3	
75984	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
75989	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
75989	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
76000	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
76010	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76080	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
76098	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76098	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76098	CPT15 FTD Migration	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1	
76098	CPT15 FTD Migration	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
76098	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	
76098	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	
76100	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76101	CPT10 50	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76102	CPT10 50	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76120	Feb05 O	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76380	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76380	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76390	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76390	Aug03 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76390	Aug03 7	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
76506	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76506	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76506	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76506	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76506	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76510	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1	
76510	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	10	
76511	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1	
76511	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	5	
76512	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	5	
76513	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
76513	Sep02	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	7	
76513	Sep02	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.1525	10	
76516	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1	
76516	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	5	
76519	RUC	"Kit, Pack, Tray"	SA124	scleral shell tubing kit	item	2.35	1	
76519	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	5	
76529	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
76529	Sep02	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	7	
76529	Sep02	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.1525	10	
76536	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76536	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76536	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76536	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76536	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76604	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76604	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76604	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76604	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76604	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76604	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76604	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.33	
76604	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76641	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76641	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76641	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76641	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76641	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76641	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76641	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	90	
76641	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76641	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76641	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76642	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76642	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76642	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76642	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76642	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76642	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76642	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76642	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76642	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76642	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76700	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76700	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76700	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76700	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76700	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76700	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76700	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76700	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76700	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76700	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76705	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76705	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76705	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76705	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76705	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76705	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76705	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76705	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76705	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76705	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76706	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76706	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76706	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76706	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76706	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76706	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76706	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76706	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
76706	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	
76706	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
76770	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76770	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76770	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76770	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76770	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76770	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76770	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76770	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76770	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76770	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76775	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76775	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76775	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76775	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76775	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76775	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76775	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76775	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76775	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76775	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76776	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76776	CPT07	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76776	CPT07	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76776	CPT07	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	10	
76776	CPT07	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
767X1	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
767X1	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
767X1	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
767X1	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
767X1	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
767X1	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
767X1	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
767X1	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
767X1	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
767X1	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
767X2	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
767X2	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
767X2	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
767X2	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
767X2	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
767X2	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
767X2	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
767X2	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
767X2	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
767X2	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
767X3	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76800	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76800	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76800	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76800	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76800	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76800	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76800	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.33	
76800	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76801	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76801	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76801	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76801	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76801	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76802	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76805	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76805	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76805	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76805	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76810	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76811	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76811	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76811	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76811	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76811	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76812	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76813	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
76813	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76813	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76813	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76813	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	10	
76813	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76814	CPT07	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76815	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76815	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76815	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76815	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76815	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76816	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76816	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76816	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76816	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76816	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76817	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76817	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76817	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	
76817	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76817	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76818	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76818	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76818	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76818	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76818	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76818	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76818	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
76819	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76819	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76819	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76819	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76819	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76819	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76821	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76821	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76821	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76821	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76821	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76821	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76821	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.3	
76821	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76825	CPT14 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
76825	CPT14 CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76825	CPT14 CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
76825	CPT14 CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	180	
76825	CPT14 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
76825	CPT14 CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.034	
76825	CPT14 CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
76826	CPT14 CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
76826	CPT14 CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76826	CPT14 CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
76826	CPT14 CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	180	
76826	CPT14 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
76826	CPT14 CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.034	
76826	CPT14 CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
76830	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76830	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76830	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76830	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76830	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76830	RUC	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	
76830	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76830	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76831	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76831	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76831	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76831	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	
76831	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	
76831	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76831	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76856	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76856	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76856	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76856	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76856	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76856	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76856	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76856	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76856	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76856	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76857	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76857	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76857	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76857	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76857	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76857	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76857	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76857	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76857	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76857	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76870	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76870	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76870	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76870	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
76870	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76870	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76870	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76872	CPT14 Final	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
76872	CPT14 Final	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76872	CPT14 Final	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76872	CPT14 Final	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
76872	CPT14 Final	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
76872	CPT14 Final	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76872	CPT14 Final	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
76872	CPT14 Final	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
76872	CPT14 Final	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	10	
76872	CPT14 Final	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	5	
76872	CPT14 Final	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	
76872	CPT14 Final	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
76872	CPT14 Final	"Pharmacy, NonRx"	SJ057	thermometer (single use)	item	0.1245	1	
76872	CPT14 Final	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76872	CPT14 Final	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	32	
76872	CPT14 Final	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	
76872	CPT14 Final	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76873	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76873	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76873	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76873	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76873	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	
76873	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
76873	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76873	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76881	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76881	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76881	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76881	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76882	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76882	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
76882	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76882	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76885	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76885	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76885	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76885	CPT15 FTD Migration	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76885	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76886	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76886	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76886	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76886	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76886	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76886	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76886	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.33	
76886	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76936	Jan04 7	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76936	Jan04 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76936	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76936	Jan04 7	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76936	Jan04 7	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
76936	Jan04 7	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76936	Jan04 7	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.33	
76936	Jan04 7	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76937	CPT15 FTD Migration	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76937	CPT15 FTD Migration	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	2	
76937	CPT15 FTD Migration	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
76937	CPT15 FTD Migration	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
76937	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	6	
76937	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	150	
76937	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	5	
76937	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76942	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76942	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	
76942	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76942	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76946	Aug03 7	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
76946	Aug03 7	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76946	Aug03 7	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76946	Aug03 7	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76948	RUC	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
76948	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
76948	RUC	"Accessory, Procedure"	SD087	"guide, needle, for localization"	item	13.385	1	
76948	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76948	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76948	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76965	Mar04 V	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
76965	Mar04 V	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	
76965	Mar04 V	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
76965	Mar04 V	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
76965	Mar04 V	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	
76965	Mar04 V	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	
76970	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76970	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76970	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76970	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76970	CPT15 FTD Migration	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.33	
76X01	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76X01	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76X01	RUC	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
76X0X	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
76X0X	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
76X0X	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
76X0X	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
76X0X	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
76X0X	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
76X0X	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
76X0X	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	3	
76X0X	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
76X0X	RUC	"Accessory, Procedure"	SD332	bubble contrast	5 ml vial	126.59	1	
76X0X	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
76X0X	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
76X0X	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
76X0X	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
76X0X	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
76X1X	RUC	"Accessory, Procedure"	SD332	bubble contrast	5 ml vial	126.59	1	
76X1X	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
76X1X	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
77001	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
77001	RUC	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77001	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
77001	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77001	RUC	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	1	
77001	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
77001	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	
77001	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
77002	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
77002	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77002	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
77003	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
77003	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77003	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
77011	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77011	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77012	RUC	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	
77012	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
77063	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
77065	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77065	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77065	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77065	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1	
77065	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	3.3175	1	
77065	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	
77065	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
77065	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	
77065	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	
77065	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
77066	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77066	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77066	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77066	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1	
77066	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	3.3175	2	
77066	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
77066	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
77066	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	
77066	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
77066	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
77067	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77067	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77067	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77067	RUC	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	1	
77067	RUC	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	3.3175	1	
77067	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
77067	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
77067	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.5	
77067	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
77067	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
77071	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
77072	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77073	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77074	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77075	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77077	Aug03 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77078	Jan04 7	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77078	Jan04 7	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77080	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77080	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77080	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77081	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77084	Jan02	"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
77085	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77085	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77085	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77086	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77086	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77086	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77280	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77280	CPT15 FTD Migration	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77280	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77280	CPT15 FTD Migration	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
77280	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77280	CPT15 FTD Migration	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	
77280	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77285	CPT14 May 18	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77285	CPT14 May 18	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77285	CPT14 May 18	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77285	CPT14 May 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
77285	CPT14 May 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77285	CPT14 May 18	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	
77285	CPT14 May 18	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77290	CPT14 May 18	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77290	CPT14 May 18	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
77290	CPT14 May 18	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77290	CPT14 May 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
77290	CPT14 May 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77290	CPT14 May 18	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	
77290	CPT14 May 18	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77295	CPT14 May 18	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
77300	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
77301	CPT14 May 41	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77301	CPT14 May 41	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
77301	CPT14 May 41	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77301	CPT14 May 41	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
77301	CPT14 May 41	"Accessory, Procedure"	SD096	"markers, radiographic, multi-modality"	item	3.3175	4	
77301	CPT14 May 41	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	20	
77301	CPT14 May 41	Lab	SL001	acetone	ml	0.0255	6	
77306	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
77307	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
77316	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	8	
77317	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	8	
77318	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	8	
77321	Sep02	"Office Supply, Grocery"	SK002	anatomical drawings (for treatment recording)	item	2.1875	1	
77321	Sep02	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.7007	1	
77321	Sep02	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77331	Sep02	"Office Supply, Grocery"	SK056	"paper, graph-plotter"	item	0.7007	1	
77331	Sep02	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77333	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77333	RUC	"Accessory, Procedure"	SD321	Thermoplastic tissue bolus 30X30X0.3cm	item	30.3825	2	
77334	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77334	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77334	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77334	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
77334	RUC	Lab	SL519	Urethane Foaming Agent		52.49	1	
77338	CPT14 May 41	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	9	
77370	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	5	
77372	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
77372	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77372	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
77372	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77372	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77372	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
77372	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	10	
77372	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77373	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77373	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77373	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77373	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	10	
77373	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	10	
77401	Sep02	"Gown, Drape"	SB037	pillow case	item	0.3478	2	
77401	Sep02	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77401	Sep02	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
77401	Sep02	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
77417	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
77423	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77423	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77423	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77423	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	
77423	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
77427	CPT11 65	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	0
77431	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
77600	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
77600	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77600	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77600	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77600	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77600	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	5	
77600	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77600	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77600	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
77600	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	
77600	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
77600	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	21.25	2	
77600	Mod sed	"Hypodermic, IV"	SC071	"catheter, hyperthermia, open-end"	item	20.9375	2	
77600	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	21.26	1	
77600	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
77600	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4	
77600	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	
77600	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77600	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	
77600	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	480	
77600	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	
77600	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
77600	Mod sed	Lab	SL020	bleach	ml	0.0033	110	
77605	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
77605	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77605	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77605	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77605	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77605	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	5	
77605	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77605	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77605	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	
77605	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	
77605	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
77605	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	21.25	4	
77605	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	21.26	1	
77605	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
77605	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4	
77605	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	
77605	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77605	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	
77605	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	480	
77605	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	
77605	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
77605	Mod sed	Lab	SL020	bleach	ml	0.0033	1137	
77610	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
77610	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77610	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77610	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77610	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77610	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	5	
77610	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77610	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77610	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
77610	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	
77610	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
77610	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	21.25	6	
77610	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	21.26	1	
77610	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	
77610	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4	
77610	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	
77610	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77610	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	
77610	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	480	
77610	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	
77610	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
77610	Mod sed	Lab	SL020	bleach	ml	0.0033	1137	
77615	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
77615	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77615	Mod sed	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77615	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77615	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
77615	Mod sed	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	5	
77615	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77615	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77615	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	12	
77615	Mod sed	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	
77615	Mod sed	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
77615	Mod sed	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	21.25	16	
77615	Mod sed	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	21.26	1	
77615	Mod sed	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4	
77615	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	
77615	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	18	
77615	Mod sed	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	
77615	Mod sed	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	480	
77615	Mod sed	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	
77615	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
77620	Jan04 10	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	2	
77620	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77620	Jan04 10	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	
77620	Jan04 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77620	Jan04 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77620	Jan04 10	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	5	
77620	Jan04 10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77620	Jan04 10	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77620	Jan04 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	4	
77620	Jan04 10	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	2	
77620	Jan04 10	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
77620	Jan04 10	"Hypodermic, IV"	SC070	"catheter, hyperthermia, closed-end"	item	21.25	3	
77620	Jan04 10	"Hypodermic, IV"	SC078	"needle, flexi, hyperthermia"	item	21.26	1	
77620	Jan04 10	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	4	
77620	Jan04 10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	3	
77620	Jan04 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77620	Jan04 10	"Pharmacy, Rx"	SH049	lidocaine 2% w-epi inj (Xylocaine w-epi)	ml	0.0958	10	
77620	Jan04 10	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	480	
77620	Jan04 10	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	
77620	Jan04 10	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
77620	Jan04 10	Lab	SL020	bleach	ml	0.0033	1137	
77750	Jan04 10	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
77750	Jan04 10	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	3	
77750	Jan04 10	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
77750	Jan04 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77750	Jan04 10	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77750	Jan04 10	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77750	Jan04 10	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
77750	Jan04 10	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
77750	Jan04 10	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
77750	Jan04 10	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77750	Jan04 10	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77750	Jan04 10	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
77750	Jan04 10	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
77750	Jan04 10	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
77750	Jan04 10	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
77750	Jan04 10	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
77750	Jan04 10	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
77750	Jan04 10	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
77750	Jan04 10	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
77750	Jan04 10	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
77750	Jan04 10	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
77750	Jan04 10	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	60	
77750	Jan04 10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77761	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	
77761	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	
77761	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	
77761	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
77761	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
77761	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	8	
77761	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
77761	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77761	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
77761	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	
77761	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77761	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
77761	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	
77761	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
77761	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.245	2	
77761	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	45	
77761	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
77761	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	
77762	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	
77762	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	
77762	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	
77762	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
77762	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
77762	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	8	
77762	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
77762	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77762	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
77762	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	
77762	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77762	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
77762	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	
77762	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
77762	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.245	2	
77762	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	45	
77762	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
77762	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	
77763	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	
77763	CMS	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	
77763	CMS	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	
77763	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
77763	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
77763	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
77763	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
77763	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77763	CMS	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
77763	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	
77763	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
77763	CMS	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
77763	CMS	"Cutters, Closures, Cautery"	SF039	"suture, silk, 2-0 to 5-0, x, fs, c"	item	3.142	1	
77763	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
77763	CMS	"Wound Care, Dressings"	SG063	"packing, gauze plain 1in (5 yd uou)"	item	4.245	2	
77763	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	45	
77763	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
77763	CMS	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	4	
77767	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77767	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
77767	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
77767	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
77767	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
77767	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.0902	5	
77767	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
77767	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	13	
77768	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77768	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77768	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
77768	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
77768	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
77768	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	
77768	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
77768	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
77768	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.0902	5	
77768	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	6	
77768	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	13	
77770	CMS	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	
77770	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
77770	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
77770	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77770	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
77770	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
77770	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
77770	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
77770	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	
77770	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
77770	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
77770	CMS	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.0902	5	
77770	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
77770	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	13	
77771	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	
77771	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
77771	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	
77771	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
77771	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77771	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
77771	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	6	
77771	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
77771	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
77771	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	
77771	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
77771	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
77771	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.0902	5	
77771	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	6	
77771	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	13	
77772	RUC	"Kit, Pack, Tray"	SA027	"kit, scissors and clamp"	kit	0.67	1	
77772	RUC	"Kit, Pack, Tray"	SA063	"tray, catheter insertion (w-o catheter)"	tray	3.4195	1	
77772	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	
77772	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
77772	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77772	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
77772	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	6	
77772	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
77772	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	
77772	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	12	
77772	RUC	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
77772	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
77772	RUC	"Pharmacy, NonRx"	SJ059	"tincture of benzoin, liquid"	ml	0.0902	5	
77772	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	8	
77772	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	13	
77778	RUC	"Kit, Pack, Tray"	SA045	"pack, drapes, cystoscopy"	pack	11.7305	1	
77778	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77778	RUC	"Kit, Pack, Tray"	SA088	"tray, surgical skin prep, sterile"	tray	5.936	1	
77778	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	
77778	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	2	
77778	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77778	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	6	
77778	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	
77778	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
77778	RUC	"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
77778	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
77778	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	2	
77778	RUC	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	2	
77789	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
77789	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77789	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
77789	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
77789	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
77789	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	
77789	CMS	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	2	
77789	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
77789	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
77789	CMS	"Pharmacy, Rx"	SH053	neomycin-polymyxin-hc otic soln (Cortisporin)	ml	2.0545	10	
77789	CMS	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	3	
77789	CMS	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
77789	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
77790	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
77X49	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77X49	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77X49	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77X49	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77X50	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77X50	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77X50	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77X50	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77X51	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
77X51	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77X51	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77X51	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77X51	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77X51	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
77X51	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
77X51	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77X51	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77X51	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
77X51	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
77X51	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
77X52	RUC	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
77X52	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
77X52	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
77X52	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
77X52	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
77X52	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
77X52	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
77X52	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
77X52	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
77X52	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
77X52	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
77X52	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78012	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78013	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78013	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
78013	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78013	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78013	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78013	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78013	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78013	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78013	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78013	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78013	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78013	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78013	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78013	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78014	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
78014	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78014	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78014	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78014	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78014	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78014	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78014	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78014	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78014	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78014	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78014	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78015	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78015	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78015	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78015	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78015	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78015	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78015	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78015	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78015	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78015	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78015	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78015	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78015	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78015	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78016	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78016	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78016	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78016	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78016	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78016	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78016	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78016	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78016	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78016	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78016	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78016	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78016	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78016	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78016	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78018	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78018	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78018	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78018	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78018	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78018	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78018	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78018	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78018	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78018	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78018	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78018	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78018	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78018	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78018	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78070	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78070	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	2	
78070	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78070	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78070	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78070	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
78070	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78070	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78070	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78070	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78070	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78070	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78070	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78070	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78070	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78070	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78070	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	2	
78070	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78070	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78070	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78071	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78071	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	2	
78071	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78071	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78071	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78071	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
78071	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78071	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78071	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78071	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78071	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78071	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78071	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78071	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78071	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78071	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78071	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	2	
78071	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78071	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78071	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78072	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78072	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	2	
78072	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78072	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78072	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78072	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
78072	RUC	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78072	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78072	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78072	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78072	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78072	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78072	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78072	RUC	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78072	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78072	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78072	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	2	
78072	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78072	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78072	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78075	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78075	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78075	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78075	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78075	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78075	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78075	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78075	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78075	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78075	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78075	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78075	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78075	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78075	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78102	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78102	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78102	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78102	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78102	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78102	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78102	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78102	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78102	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78102	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78102	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78102	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78102	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78102	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78103	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78103	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78103	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78103	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78103	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78103	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78103	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78103	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78103	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78103	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78103	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78103	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78103	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78103	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78104	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78104	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78104	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78104	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78104	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78104	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78104	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78104	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78104	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78104	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78110	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78110	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	
78110	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1	
78110	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	1	
78110	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78110	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78110	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78111	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
78111	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	2	
78111	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2	
78111	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	2	
78111	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78111	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
78111	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78120	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78120	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	1	
78120	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	1	
78120	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	1	
78120	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78120	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78120	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78121	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
78121	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	2	
78121	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2	
78121	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	2	
78121	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78121	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
78121	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78122	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
78122	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	2	
78122	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	2	
78122	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	2	
78122	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78122	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
78122	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78130	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	
78130	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	4	
78130	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4	
78130	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	4	
78130	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	
78130	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
78130	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78135	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78135	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78135	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78135	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78135	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78135	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78135	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78135	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78135	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78135	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78135	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78135	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78135	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78135	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78135	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78140	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78140	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78140	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78140	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78140	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78140	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78140	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78140	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78140	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78140	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78185	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78185	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78185	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78185	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78185	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78185	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78185	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78185	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78185	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78185	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78185	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78185	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78185	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78185	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78191	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	
78191	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	4	
78191	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	4	
78191	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	4	
78191	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	
78191	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
78191	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78195	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78195	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78195	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78195	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78195	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78195	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78195	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78195	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78195	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78195	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78195	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78195	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78195	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78195	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78195	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78201	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78201	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78201	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78201	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78201	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78201	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78201	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78201	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78201	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78201	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78201	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78201	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78201	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78201	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78202	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78202	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78202	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78202	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78202	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78202	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78202	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78202	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78202	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78202	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78202	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78202	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78202	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78202	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78205	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78205	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78205	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78205	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78205	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78205	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78205	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78205	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78205	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78205	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78205	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78205	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78205	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78205	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78206	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78206	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78206	CPT11	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78206	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78206	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78206	CPT11	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
78206	CPT11	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78206	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
78206	CPT11	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78206	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78206	CPT11	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78206	CPT11	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78206	CPT11	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78206	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78206	CPT11	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.242	2	
78206	CPT11	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
78206	CPT11	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
78206	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78215	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78215	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78215	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78215	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78215	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78215	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78215	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78215	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78215	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78215	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78215	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78215	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78215	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78215	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78216	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78216	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78216	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78216	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78216	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78216	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78216	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78216	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78216	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78216	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78216	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78216	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78216	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78216	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78226	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78226	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78226	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78226	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78226	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78226	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78226	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78226	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78226	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78226	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78226	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78226	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78226	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78227	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78227	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78227	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78227	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78227	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78227	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78227	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78227	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78227	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78227	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78227	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78227	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78227	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78227	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78227	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78230	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78230	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78230	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78230	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78230	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78230	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78230	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78230	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78230	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78230	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78231	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78231	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78231	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78231	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78231	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78231	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78231	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78231	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78231	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78231	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78231	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78231	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78231	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78231	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78232	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78232	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78232	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78232	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78232	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78232	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78232	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78232	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78232	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78232	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78232	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78232	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78232	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78232	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78258	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78258	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78258	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78258	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78261	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78261	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78261	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78261	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78261	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78261	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78261	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78261	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78261	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78261	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78261	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78261	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78261	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78261	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78262	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78262	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78262	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78262	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78264	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78264	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78264	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78264	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
78264	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
78264	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
78264	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	1	
78264	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	
78264	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3	
78264	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.1675	2	
78264	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.2075	4	
78264	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.0775	1	
78264	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.1925	1	
78264	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78265	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78265	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78265	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78265	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
78265	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
78265	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
78265	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	4	
78265	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	
78265	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3	
78265	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.1675	2	
78265	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.2075	4	
78265	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.0775	1	
78265	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.1925	1	
78265	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78266	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78266	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78266	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78266	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
78266	RUC	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
78266	RUC	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
78266	RUC	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	4	
78266	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	
78266	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	3	
78266	RUC	"Office Supply, Grocery"	SK121	Bread	per slice	0.1675	2	
78266	RUC	"Office Supply, Grocery"	SK122	Egg Whites	oz	0.2075	4	
78266	RUC	"Office Supply, Grocery"	SK123	Jelly	Packet (0.5 oz)	0.0775	1	
78266	RUC	"Office Supply, Grocery"	SK124	Paper plate	item	0.1925	1	
78266	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78270	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78270	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78270	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78271	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
78271	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78271	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78272	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
78272	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78272	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78278	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78278	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78278	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78278	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78278	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78278	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78278	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78278	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78278	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78278	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78278	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78278	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78278	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78278	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78278	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78290	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78290	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3	
78290	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78290	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78290	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78290	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78290	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78290	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78290	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78290	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78290	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78290	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78290	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78290	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78290	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78291	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78291	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78291	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78291	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78291	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78291	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78291	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78291	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78291	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78291	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78291	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78291	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78291	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78291	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78300	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78300	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78300	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78300	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78300	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78300	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78300	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78300	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78300	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78300	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78300	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78300	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78305	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78305	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78305	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78305	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78305	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78305	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78305	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78305	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78305	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78305	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78305	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78305	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78306	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78306	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78306	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78306	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78306	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78306	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78306	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78306	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78306	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78315	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78315	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3	
78315	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78315	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78315	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78315	CPT11	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78315	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78315	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78315	CPT11	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78315	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78315	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78315	CPT11	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78315	CPT11	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78315	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78315	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78320	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78320	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78320	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78320	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78320	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78320	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78320	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78320	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78320	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78320	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78320	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78320	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78320	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78320	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78350	Feb06 20	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78350	Feb06 20	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
78350	Feb06 20	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
78428	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78428	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78428	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78428	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78428	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78428	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78428	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78428	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78428	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78428	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78428	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78428	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78428	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78428	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78445	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78445	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78445	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78445	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78445	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78445	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78445	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78445	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78445	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78445	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78445	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78445	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78445	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78445	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78451	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78451	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78451	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78451	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78451	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78451	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78451	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78451	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78451	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78451	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78451	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78451	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78451	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78451	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78452	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78452	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78452	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	4	
78452	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78452	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78452	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78452	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78452	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78452	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78452	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78452	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78452	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78452	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78452	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78453	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78453	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78453	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78453	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78453	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78453	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78453	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78453	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78453	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78453	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78453	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78453	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78453	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78453	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78454	CPT10 35	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78454	CPT10 35	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78454	CPT10 35	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78454	CPT10 35	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78454	CPT10 35	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78454	CPT10 35	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78454	CPT10 35	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78454	CPT10 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78454	CPT10 35	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78454	CPT10 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78454	CPT10 35	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78454	CPT10 35	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78454	CPT10 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78454	CPT10 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78456	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78456	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3	
78456	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78456	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78456	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78456	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78456	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78456	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78456	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78456	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78456	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78456	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78456	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78456	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78456	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78457	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78457	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78457	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78457	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78457	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78457	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78457	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78457	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78457	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78457	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78457	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78457	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78457	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78457	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78458	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78458	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78458	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78458	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78458	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78458	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78458	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78458	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78458	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78458	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78458	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78458	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78458	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78458	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78466	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78466	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78466	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78466	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78466	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78466	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78466	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78466	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78466	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78466	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78466	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78466	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78466	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78466	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78468	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78468	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78468	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78468	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78468	CPT11	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78468	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78468	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78468	CPT11	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78468	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78468	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78468	CPT11	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78468	CPT11	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78468	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78468	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78469	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78469	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78469	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78469	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78469	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78469	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78469	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78469	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78469	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78469	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78469	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78469	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78469	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78469	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78472	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78472	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78472	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78472	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78472	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	
78472	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78472	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78472	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78472	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78472	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
78473	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78473	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78473	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78473	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78473	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78473	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78473	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78473	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78473	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78473	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
78481	Feb06 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78481	Feb06 20	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78481	Feb06 20	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78481	Feb06 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78481	Feb06 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78481	Feb06 20	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78481	Feb06 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78481	Feb06 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	
78481	Feb06 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78481	Feb06 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78481	Feb06 20	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78481	Feb06 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78481	Feb06 20	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
78483	Feb05 20	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78483	Feb05 20	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78483	Feb05 20	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78483	Feb05 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78483	Feb05 20	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78483	Feb05 20	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78483	Feb05 20	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78483	Feb05 20	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78483	Feb05 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	
78483	Feb05 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78483	Feb05 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78483	Feb05 20	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78483	Feb05 20	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78483	Feb05 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78494	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78494	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78494	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78494	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78494	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78494	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78494	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78494	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78494	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78494	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78494	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78494	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78494	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78494	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78579	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78579	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78579	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78579	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78579	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78579	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78579	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78579	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78579	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78580	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78580	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78580	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78580	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78580	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78580	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78580	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78580	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78580	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78580	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78580	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78580	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78580	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78580	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78580	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78582	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78582	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78582	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78582	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78582	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78582	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78582	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78582	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78582	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78582	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78582	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78582	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78582	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78582	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78582	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78597	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78597	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78597	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78597	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78597	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78597	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78597	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78597	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78597	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78597	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78597	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78597	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78597	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78597	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78597	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78598	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78598	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78598	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78598	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78598	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78598	RUC	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78598	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78598	RUC	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78598	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78598	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78598	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78598	RUC	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78598	RUC	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78598	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78598	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78600	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78600	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78600	Jan04 25	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78600	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78600	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78600	Jan04 25	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
78600	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78600	Jan04 25	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78600	Jan04 25	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78600	Jan04 25	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78600	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78600	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78600	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78600	Jan04 25	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
78601	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78601	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78601	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78601	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78601	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78601	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78601	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78601	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78601	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78601	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78601	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78601	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78601	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78601	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78605	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78605	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78605	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78605	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78605	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78605	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78605	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78605	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78605	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78605	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78605	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78605	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78606	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78606	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78606	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78606	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78606	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78606	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78606	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78606	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78606	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78606	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78606	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78606	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78606	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78606	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78606	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78607	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78607	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78607	Jan04 25	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78607	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78607	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78607	Jan04 25	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
78607	Jan04 25	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78607	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
78607	Jan04 25	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78607	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78607	Jan04 25	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78607	Jan04 25	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78607	Jan04 25	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78607	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78607	Jan04 25	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.242	2	
78607	Jan04 25	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
78607	Jan04 25	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
78607	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78610	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78610	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78610	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78610	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78610	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78610	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78610	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78610	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78610	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78610	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78610	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78610	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78610	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78610	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78630	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78630	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78630	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78630	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78630	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78630	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78630	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78630	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78630	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78630	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78630	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78630	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78630	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78630	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78630	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78635	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78635	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3	
78635	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78635	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78635	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78635	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78635	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78635	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78635	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78635	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78635	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78635	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78635	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78635	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78635	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78645	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78645	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78645	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78645	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78645	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78645	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78645	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78645	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78645	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78645	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78645	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78645	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78645	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78645	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78645	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78647	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78647	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78647	Jan04 25	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78647	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78647	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78647	Jan04 25	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
78647	Jan04 25	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78647	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
78647	Jan04 25	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78647	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78647	Jan04 25	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78647	Jan04 25	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78647	Jan04 25	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78647	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78647	Jan04 25	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.242	2	
78647	Jan04 25	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
78647	Jan04 25	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
78647	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78650	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78650	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78650	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78650	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78650	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78650	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78650	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78650	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78650	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78650	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78650	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78650	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78650	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78650	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78650	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78660	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78660	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78660	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78660	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78660	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78660	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78660	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78660	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78660	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78660	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78660	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78660	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78660	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78660	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78700	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78700	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78700	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78700	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78700	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78700	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78700	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78700	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78700	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78700	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78700	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78700	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78700	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78700	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78701	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78701	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78701	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78701	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78701	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78701	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78701	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78701	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78701	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78701	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78701	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78701	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78701	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78701	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78707	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78707	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78707	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78707	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78707	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78707	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78707	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78707	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78707	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78707	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78707	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78707	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78708	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78708	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78708	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78708	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78708	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78708	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78708	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78708	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78708	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78708	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78708	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78708	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78708	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78708	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78709	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
78709	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78709	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78709	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78709	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78709	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78709	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
78709	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78709	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
78709	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78709	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78709	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78709	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
78709	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
78709	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	10	
78710	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78710	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78710	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78710	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78710	CPT15 FTD Migration	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78710	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78710	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78710	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78710	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78710	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78710	CPT15 FTD Migration	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78710	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78710	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78710	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78725	Mar04 X	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	
78725	Mar04 X	"Hypodermic, IV"	SC006	blood collection tube (Vacutainer)	item	0.1958	3	
78725	Mar04 X	"Hypodermic, IV"	SC067	blood collection tube holder	item	0.1625	3	
78725	Mar04 X	"Hypodermic, IV"	SC068	blood collection tube needle	item	0.254	3	
78725	Mar04 X	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	3	
78725	Mar04 X	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	
78725	Mar04 X	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
78730	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78740	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78740	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78740	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
78740	Jan04 25	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78740	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78740	Jan04 25	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
78740	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78761	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78761	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78761	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78761	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78761	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78761	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78761	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78761	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78761	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78761	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78761	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78761	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78761	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78761	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78800	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78800	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78800	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78800	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78800	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78800	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78800	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78800	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78800	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78800	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78800	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78800	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78800	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78800	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78801	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78801	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78801	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78801	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78801	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78801	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78801	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78801	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78801	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78801	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78801	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78801	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78802	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78802	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78802	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78802	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78802	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78802	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78802	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78802	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78802	Jan04 25	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	
78802	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78802	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78802	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78802	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78802	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78803	CPT11	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78803	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78803	CPT11	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78803	CPT11	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78803	CPT11	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78803	CPT11	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
78803	CPT11	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78803	CPT11	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
78803	CPT11	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78803	CPT11	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78803	CPT11	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78803	CPT11	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78803	CPT11	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78803	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78803	CPT11	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.242	2	
78803	CPT11	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
78803	CPT11	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
78803	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78804	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78804	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78804	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78804	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78804	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78804	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78804	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78804	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78804	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78804	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78804	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78804	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78804	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78804	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78805	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78805	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78805	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78805	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78805	Jan04 25	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
78805	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78805	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78805	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78805	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78805	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78805	Jan04 25	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
78805	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78805	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78805	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78806	Jan04 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
78806	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
78806	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78806	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78806	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78806	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78806	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78806	Jan04 25	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78806	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78806	Jan04 25	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
78806	Jan04 25	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
78806	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
78806	Jan04 25	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
78807	Jan04 25	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
78807	Jan04 25	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
78807	Jan04 25	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
78807	Jan04 25	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
78807	Jan04 25	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78807	Jan04 25	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
78807	Jan04 25	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
78807	Jan04 25	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
78807	Jan04 25	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
78807	Jan04 25	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78807	Jan04 25	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
78807	Jan04 25	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
78807	Jan04 25	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
78807	Jan04 25	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
78807	Jan04 25	"Wound Care, Dressings"	SG022	"bandage, tubular, x-large (Surgilast)"	yd	1.242	2	
78807	Jan04 25	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
78807	Jan04 25	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
78807	Jan04 25	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78808	CPT09 23	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
78808	CPT09 23	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
78808	CPT09 23	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
78808	CPT09 23	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
78808	CPT09 23	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
78808	CPT09 23	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
78808	CPT09 23	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
78808	CPT09 23	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
78808	CPT09 23	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
78808	CPT09 23	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	4	
79005	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
79005	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
79005	CPT05	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
79101	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
79101	CPT05	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
79101	CPT05	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
79101	CPT05	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
79101	CPT05	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
79101	CPT05	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
79101	CPT05	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
79101	CPT05	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
79101	CPT05	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
79101	CPT05	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
79101	CPT05	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
79101	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
79101	CPT05	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
79200	Feb05 T	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
79200	Feb05 T	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	4	
79200	Feb05 T	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
79200	Feb05 T	"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
79200	Feb05 T	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
79200	Feb05 T	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
79200	Feb05 T	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
79200	Feb05 T	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
79200	Feb05 T	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
79200	Feb05 T	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
79200	Feb05 T	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
79200	Feb05 T	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
79403		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
79403		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
79403		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
79403		"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
79403		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
79403		"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
79403		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
79403		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
79403		"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	
79403		"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
79403		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
79403		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
79403		Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
79440	CPT15 FTD Migration	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
79440	CPT15 FTD Migration	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
79440	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
79440	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
79440	CPT15 FTD Migration	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
79440	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
79440	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
85097	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
85097	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	0
85097	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
85097	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	0
85097	RUC	Lab	SL020	bleach	ml	0.0033	10	0
85097	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	0
85097	RUC	Lab	SL080	immersion oil	ml	0.079	1	0
85097	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	0
85097	RUC	Lab	SL087	lens paper	item	0.0977	2	0
85097	RUC	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.0238	25	0
85097	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
85097	RUC	Lab	SL140	"stain, Wright's Pack (per slide)"	ml	0.161	9	0
86486	CPT08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
86486	CPT08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
86486	CPT08	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
86486	CPT08	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
86486	CPT08	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	0.1	
86486	CPT08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
86490		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
86490		"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
86490		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
86490		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
86490		"Pharmacy, Rx"	SH107	Spherusol	ml	596.9125	0.1	
86490		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
86510		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
86510		"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
86510		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
86510		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
86510		"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	0.1	
86510		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
86580	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
86580	Sep02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
86580	Sep02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
86580	Sep02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
86580	Sep02	"Pharmacy, Rx"	SH059	purified protein derivative (0.1ml per test) (PPD-Tubersol)	ml	19.5302	0.1	
86580	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
88104	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88104	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88104	RUC	Lab	SL020	bleach	ml	0.0033	50	
88104	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88104	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	
88104	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.3	
88104	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	
88104	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88104	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88104	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4	
88104	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8	
88104	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8	
88104	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	10	
88104	RUC	Lab	SL151	xylenes solvent	ml	0.012	20	
88104	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13	
88104	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13	
88104	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32	
88104	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	8	
88104	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88104	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	4	
88106	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88106	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88106	RUC	Lab	SL020	bleach	ml	0.0033	50	
88106	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88106	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	
88106	RUC	Lab	SL043	"cytology, vacuum grease"	oz	3.655	0.2	
88106	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.3	
88106	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88106	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.2	
88106	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88106	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88106	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88106	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4	
88106	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4	
88106	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	5	
88106	RUC	Lab	SL151	xylenes solvent	ml	0.012	20	
88106	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13	
88106	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13	
88106	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32	
88106	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	4	
88106	RUC	Lab	SL502	Millipore filter	item	0.9975	1	
88106	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88106	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88108	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.2	
88108	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2	
88108	RUC	"Accessory, Procedure"	SD298	"Shannon cyto funnel, cytospin"	item	2.8295	2	
88108	RUC	Lab	SL020	bleach	ml	0.0033	50	
88108	RUC	Lab	SL024	centrifuge tube	item	0.0605	1	
88108	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88108	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	
88108	RUC	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.1875	1	
88108	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.3	
88108	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88108	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.2	
88108	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88108	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88108	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8	
88108	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8	
88108	RUC	Lab	SL151	xylenes solvent	ml	0.012	20	
88108	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13	
88108	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13	
88108	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32	
88108	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	8	
88108	RUC	Lab	SL503	fixative spray for cytospin	ml	1.4545	0.2	
88108	RUC	Lab	SL504	"slide, microscope coated cytospin (single circle)"	item	0.3844	2	
88108	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.2	
88108	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88112	RUC	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.035	1	
88112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.2	
88112	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2	
88112	RUC	Lab	SL020	bleach	ml	0.0033	50	
88112	RUC	Lab	SL024	centrifuge tube	item	0.0605	1	
88112	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1	
88112	RUC	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.0405	30	
88112	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.15	
88112	RUC	Lab	SL085	label for microscope slides	item	0.0545	1	
88112	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.1	
88112	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88112	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88112	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	4	
88112	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	4	
88112	RUC	Lab	SL151	xylenes solvent	ml	0.012	10	
88112	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	6.5	
88112	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.5	
88112	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	16	
88112	RUC	Lab	SL256	ThinPrep  UroCyte filter	item	8.595	1	
88112	RUC	Lab	SL490	"microscopic slide, cytology liquid based preparation"	item	0.4305	1	
88112	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	4	
88112	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.2	
88112	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	4	
88120	CPT11 15	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.035	1	
88120	CPT11 15	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	165.6325	1.7	
88120	CPT11 15	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88120	CPT11 15	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88120	CPT11 15	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
88120	CPT11 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.3	
88120	CPT11 15	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1	
88120	CPT11 15	Lab	SL024	centrifuge tube	item	0.0605	3	
88120	CPT11 15	Lab	SL030	"cover slip, glass"	item	0.079	1	
88120	CPT11 15	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.0405	30	
88120	CPT11 15	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.1875	1	
88120	CPT11 15	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	4.2	
88120	CPT11 15	Lab	SL072	formalin	ml	0.009	0.3	
88120	CPT11 15	Lab	SL080	immersion oil	ml	0.079	0.3	
88120	CPT11 15	Lab	SL179	1.0N NaOH	ml	0.5292	3.3	
88120	CPT11 15	Lab	SL181	"pipette tips, sterile"	item	0.0945	2	
88120	CPT11 15	Lab	SL189	"ethanol, 100%"	ml	0.0033	33.3	
88120	CPT11 15	Lab	SL190	"ethanol, 70%"	ml	0.0033	66.7	
88120	CPT11 15	Lab	SL191	"ethanol, 85%"	ml	0.045	33.3	
88120	CPT11 15	Lab	SL244	"water, de-ionized"	ml	0.017	3	
88120	CPT11 15	Lab	SL248	"ethanol, 95%"	ml	0.0033	1	
88120	CPT11 15	Lab	SL253	Non-Gyn Filter unit	item	4.4925	0.3	
88120	CPT11 15	Lab	SL254	0.45 ?m pore filtration unit	item	9.1485	0.7	
88120	CPT11 15	Lab	SL255	12-well slides	item	0.845	1	
88120	CPT11 15	Lab	SL256	ThinPrep  UroCyte filter	item	8.595	1	
88120	CPT11 15	Lab	SL257	Humidity cards	item	0.3205	0.7	
88120	CPT11 15	Lab	SL258	Control slides	kit	240.75	0.3	
88120	CPT11 15	Lab	SL259	Bleach cleaning wipe	item	0.8775	0.3	
88120	CPT11 15	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.0982	47.5	
88120	CPT11 15	Lab	SL261	FISH pre-treatment kit	kit	525.37	0.3	
88120	CPT11 15	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	1	
88120	CPT11 15	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88121	CPT11 15	"Kit, Pack, Tray"	SA104	ThinPrep UroCyte Urine Collection Kit	kit	7.035	1	
88121	CPT11 15	"Kit, Pack, Tray"	SA105	UroVysion test kit	item	165.6325	1.3	
88121	CPT11 15	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1.5	
88121	CPT11 15	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.5	
88121	CPT11 15	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.5	
88121	CPT11 15	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.2	
88121	CPT11 15	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	1	
88121	CPT11 15	Lab	SL024	centrifuge tube	item	0.0605	3	
88121	CPT11 15	Lab	SL030	"cover slip, glass"	item	0.079	1	
88121	CPT11 15	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.0405	30	
88121	CPT11 15	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.1875	1	
88121	CPT11 15	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	2.1	
88121	CPT11 15	Lab	SL072	formalin	ml	0.009	0.2	
88121	CPT11 15	Lab	SL080	immersion oil	ml	0.079	0.2	
88121	CPT11 15	Lab	SL179	1.0N NaOH	ml	0.5292	1.7	
88121	CPT11 15	Lab	SL181	"pipette tips, sterile"	item	0.0945	1.84	
88121	CPT11 15	Lab	SL189	"ethanol, 100%"	ml	0.0033	16.7	
88121	CPT11 15	Lab	SL190	"ethanol, 70%"	ml	0.0033	33.3	
88121	CPT11 15	Lab	SL191	"ethanol, 85%"	ml	0.045	16.7	
88121	CPT11 15	Lab	SL244	"water, de-ionized"	ml	0.017	1.5	
88121	CPT11 15	Lab	SL248	"ethanol, 95%"	ml	0.0033	1	
88121	CPT11 15	Lab	SL253	Non-Gyn Filter unit	item	4.4925	0.2	
88121	CPT11 15	Lab	SL254	0.45 ?m pore filtration unit	item	9.1485	0.3	
88121	CPT11 15	Lab	SL255	12-well slides	item	0.845	1	
88121	CPT11 15	Lab	SL256	ThinPrep  UroCyte filter	item	8.595	1	
88121	CPT11 15	Lab	SL257	Humidity cards	item	0.3205	0.3	
88121	CPT11 15	Lab	SL258	Control slides	kit	240.75	0.2	
88121	CPT11 15	Lab	SL259	Bleach cleaning wipe	item	0.8775	0.2	
88121	CPT11 15	Lab	SL260	"Fresh Fixative (3:1, methanol: acetic acid)"	item	0.0982	47.5	
88121	CPT11 15	Lab	SL261	FISH pre-treatment kit	kit	525.37	0.2	
88121	CPT11 15	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	1	
88121	CPT11 15	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.5	
88125		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
88125		Lab	SL020	bleach	ml	0.0033	50	
88125		Lab	SL026	clearing agent (Histo-clear)	ml	0.011	4	
88125		Lab	SL030	"cover slip, glass"	item	0.079	2	
88125		Lab	SL085	label for microscope slides	item	0.0545	2	
88125		Lab	SL095	mounting media (Histomount)	ml	0.1512	1	
88125		Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88125		Lab	SL122	"slide, microscope"	item	0.1313	2	
88125		Lab	SL138	"stain, PAP toluidine blue O"	ml	0.0842	1	
88160	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88160	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88160	RUC	Lab	SL020	bleach	ml	0.0033	50	
88160	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88160	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.3	
88160	RUC	Lab	SL071	fixative spray	ml	0.047	0.4	
88160	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	
88160	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88160	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88160	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4	
88160	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8	
88160	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8	
88160	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	10	
88160	RUC	Lab	SL151	xylenes solvent	ml	0.012	20	
88160	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13	
88160	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13	
88160	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32	
88160	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	8	
88160	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88160	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	4	
88161	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88161	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88161	RUC	Lab	SL020	bleach	ml	0.0033	50	
88161	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88161	RUC	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	
88161	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.3	
88161	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	
88161	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88161	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	1	
88161	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4	
88161	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	8	
88161	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	8	
88161	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	10	
88161	RUC	Lab	SL151	xylenes solvent	ml	0.012	20	
88161	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	13	
88161	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	13	
88161	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	32	
88161	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	8	
88161	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88161	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	4	
88162	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88162	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88162	RUC	Lab	SL020	bleach	ml	0.0033	50	
88162	RUC	Lab	SL030	"cover slip, glass"	item	0.079	7	
88162	RUC	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	0.45	
88162	RUC	Lab	SL071	fixative spray	ml	0.047	0.8	
88162	RUC	Lab	SL085	label for microscope slides	item	0.0545	7	
88162	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.7	
88162	RUC	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	2	
88162	RUC	Lab	SL122	"slide, microscope"	item	0.1313	7	
88162	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88162	RUC	Lab	SL137	"stain, PAP EA-50"	ml	0.035	16	
88162	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	15	
88162	RUC	Lab	SL151	xylenes solvent	ml	0.012	30	
88162	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	19.5	
88162	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	19.5	
88162	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	
88162	RUC	Lab	SL491	"stain, PAP OG-6"	ml	0.0175	16	
88162	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88162	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	7	
88172	CPT11 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
88172	CPT11 16	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
88172	CPT11 16	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	2	
88172	CPT11 16	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
88172	CPT11 16	Lab	SL020	bleach	ml	0.0033	50	
88173	Feb01	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
88173	Feb01	"Gown, Drape"	SB030	"lab coat, staff"	item	5.709	1	
88173	Feb01	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88173	Feb01	Lab	SL020	bleach	ml	0.0033	50	
88173	Feb01	Lab	SL024	centrifuge tube	item	0.0605	1	
88173	Feb01	Lab	SL026	clearing agent (Histo-clear)	ml	0.011	36	
88173	Feb01	Lab	SL030	"cover slip, glass"	item	0.079	9	
88173	Feb01	Lab	SL039	"cytology, lysing soln (CytoLyt)"	ml	0.0405	3	
88173	Feb01	Lab	SL040	"cytology, preservative and vial (Preserv-cyt)"	item	1.1875	1	
88173	Feb01	Lab	SL041	"cytology, specimen filter (Transcyt)"	item	4.15	1	
88173	Feb01	Lab	SL042	"cytology, transport prefilled container"	item	0.794	1	
88173	Feb01	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	2	
88173	Feb01	Lab	SL071	fixative spray	ml	0.047	1.8	
88173	Feb01	Lab	SL085	label for microscope slides	item	0.0545	9	
88173	Feb01	Lab	SL095	mounting media (Histomount)	ml	0.1512	1.8	
88173	Feb01	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	2	
88173	Feb01	Lab	SL121	slide specimen mailer (1-5 microscope slides)	item	0.38	2	
88173	Feb01	Lab	SL122	"slide, microscope"	item	0.1313	9	
88173	Feb01	Lab	SL138	"stain, PAP toluidine blue O"	ml	0.0842	25	
88173	Feb01	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	2	
88177	CPT11 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
88177	CPT11 16	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
88182	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
88182	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88182	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	5	
88182	RUC	Lab	SL024	centrifuge tube	item	0.0605	2	
88182	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.011	20	
88182	RUC	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.5435	1	
88182	RUC	Lab	SL084	Isoton II diluent	ml	0.002	5	
88182	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	10	
88182	RUC	Lab	SL115	propidium iodide	ml	5.4775	1	
88182	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.208	0.3	
88182	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	20	
88182	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	20	
88182	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	20	
88182	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	20	
88182	RUC	Lab	SL506	Protease	mg	0.5975	1.12	
88184	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
88184	RUC	Lab	SL021	calibration beads (each test)	item	10.08	1	
88184	RUC	Lab	SL024	centrifuge tube	item	0.0605	4	
88184	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1	
88184	RUC	Lab	SL084	Isoton II diluent	ml	0.002	25	
88184	RUC	Lab	SL089	lysing reagent (FACS)	ml	4.1837	5	
88184	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.2	
88184	RUC	Lab	SL099	paraformaldehyde	gm	0.0673	0.5	
88184	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	20	
88184	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	5	
88184	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1	
88184	RUC	Lab	SL141	"stain, Wright's soln"	ml	0.208	0.3	
88184	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	8.6575	1.6	
88185	RUC	Lab	SL024	centrifuge tube	item	0.0605	2	
88185	RUC	Lab	SL084	Isoton II diluent	ml	0.002	25	
88185	RUC	Lab	SL089	lysing reagent (FACS)	ml	4.1837	2	
88185	RUC	Lab	SL099	paraformaldehyde	gm	0.0673	0.5	
88185	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	20	
88185	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	2	
88185	RUC	Lab	SL186	"antibody, flow cytometry (each test)"	item	8.6575	1.6	
88300	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88300	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88300	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88300	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88300	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
88300	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88300	CPT13 Mar 11	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.5998	1	
88302	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88302	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88302	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88302	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.1	
88302	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
88302	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88302	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	
88302	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
88302	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88302	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	1	
88302	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88302	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1492	1	
88302	CPT13 Mar 11	Lab	SL060	embedding mold	item	1.3967	1	
88302	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3473	0.008	
88302	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	
88302	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	14	
88302	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88302	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.0545	1	
88302	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.0715	0.1	
88302	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	
88302	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.1313	1	
88302	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88302	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	30	
88302	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	30	
88302	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	4	
88302	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88302	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	18	
88302	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.1904	1	
88302	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	2	
88302	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.0088	5	
88302	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88304	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88304	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88304	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88304	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.2	
88304	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
88304	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88304	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88304	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	2	
88304	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
88304	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88304	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	2	
88304	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88304	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1492	2	
88304	CPT13 Mar 11	Lab	SL060	embedding mold	item	1.3967	2	
88304	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3473	0.016	
88304	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	100	
88304	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28	
88304	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88304	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.0545	2	
88304	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.0715	0.2	
88304	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	
88304	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.1313	2	
88304	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	32	
88304	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	60	
88304	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	
88304	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	
88304	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.0657	8	
88304	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	
88304	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.1904	1	
88304	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	4	
88304	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.0088	10	
88304	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88305	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88305	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88305	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88305	CPT13 Mar 11	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.048	2	
88305	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.2	
88305	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
88305	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88305	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88305	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	1	
88305	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
88305	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88305	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	6	
88305	CPT13 Mar 11	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88305	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1492	2	
88305	CPT13 Mar 11	Lab	SL060	embedding mold	item	1.3967	2	
88305	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3473	0.005	
88305	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	
88305	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	28	
88305	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	
88305	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.0545	6	
88305	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.0715	0.2	
88305	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.1512	2	
88305	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.1313	6	
88305	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	32	
88305	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	60	
88305	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	
88305	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	
88305	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.0657	8	
88305	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	
88305	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.1904	1	
88305	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	4	
88305	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.4092	3	
88305	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.1766	3	
88305	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.0088	5	
88305	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88307	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88307	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88307	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88307	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1.2	
88307	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	2	
88307	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88307	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
88307	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	5	
88307	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8	
88307	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88307	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	12	
88307	CPT13 Mar 11	Lab	SL034	"cup, biopsy-specimen 86oz"	item	1.5998	1	
88307	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1492	12	
88307	CPT13 Mar 11	Lab	SL060	embedding mold	item	1.3967	12	
88307	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3473	0.096	
88307	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	500	
88307	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	170	
88307	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	
88307	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.0545	12	
88307	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.0715	1.2	
88307	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.1512	4	
88307	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.1313	12	
88307	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	192	
88307	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	360	
88307	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	360	
88307	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	48	
88307	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.0657	48	
88307	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	216	
88307	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.1904	2	
88307	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	24	
88307	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.4092	5	
88307	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.1766	3	
88307	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.0088	15	
88307	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	15	
88309	CPT13 Mar 11	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88309	CPT13 Mar 11	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88309	CPT13 Mar 11	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
88309	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1.8	
88309	CPT13 Mar 11	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	3	
88309	CPT13 Mar 11	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88309	CPT13 Mar 11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	
88309	CPT13 Mar 11	"Pharmacy, Rx"	SH001	acetic acid 5%	ml	0.0165	3	
88309	CPT13 Mar 11	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	10	
88309	CPT13 Mar 11	Lab	SL020	bleach	ml	0.0033	10	
88309	CPT13 Mar 11	Lab	SL030	"cover slip, glass"	item	0.079	18	
88309	CPT13 Mar 11	Lab	SL058	embedding cassette	item	0.1492	18	
88309	CPT13 Mar 11	Lab	SL060	embedding mold	item	1.3967	18	
88309	CPT13 Mar 11	Lab	SL061	embedding paraffin	kg	5.3473	0.144	
88309	CPT13 Mar 11	Lab	SL068	fixative (for tissue specimen)	ml	0.013	750	
88309	CPT13 Mar 11	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	252	
88309	CPT13 Mar 11	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	
88309	CPT13 Mar 11	Lab	SL085	label for microscope slides	item	0.0545	18	
88309	CPT13 Mar 11	Lab	SL093	"mold release agent, liquid"	ml	0.0715	1.8	
88309	CPT13 Mar 11	Lab	SL095	mounting media (Histomount)	ml	0.1512	6	
88309	CPT13 Mar 11	Lab	SL122	"slide, microscope"	item	0.1313	18	
88309	CPT13 Mar 11	Lab	SL135	"stain, hematoxylin"	ml	0.044	288	
88309	CPT13 Mar 11	Lab	SL151	xylenes solvent	ml	0.012	540	
88309	CPT13 Mar 11	Lab	SL189	"ethanol, 100%"	ml	0.0033	540	
88309	CPT13 Mar 11	Lab	SL190	"ethanol, 70%"	ml	0.0033	72	
88309	CPT13 Mar 11	Lab	SL201	"stain, eosin"	ml	0.0657	72	
88309	CPT13 Mar 11	Lab	SL248	"ethanol, 95%"	ml	0.0033	324	
88309	CPT13 Mar 11	Lab	SL468	Paraffin repel	ml	0.1904	2	
88309	CPT13 Mar 11	Lab	SL469	Clarifier	ml	0.005	36	
88309	CPT13 Mar 11	Lab	SL470	Marking Dyes	ml	0.4092	3	
88309	CPT13 Mar 11	Lab	SL471	Q-tip	each	0.1766	1	
88309	CPT13 Mar 11	Lab	SL472	Specimen containter	item	1.5947	1	
88309	CPT13 Mar 11	Infection Control	SM017	formaldehyde spill control	ml	0.0088	15	
88309	CPT13 Mar 11	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	20	
88311	Mar01	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88311	Mar01	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
88311	Mar01	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88311	Mar01	Lab	SL045	decalcifier solution	ml	0.0153	40	
88311	Mar01	Lab	SL085	label for microscope slides	item	0.0545	1	
88312	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88312	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88312	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
88312	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88312	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88312	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	
88312	CPT12 May 25	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5.24	
88312	CPT12 May 25	Lab	SL020	bleach	ml	0.0033	30	
88312	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2	
88312	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	1	
88312	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.0545	2	
88312	CPT12 May 25	Lab	SL112	positive control slide	item	16.5925	1	
88312	CPT12 May 25	Lab	SL122	"slide, microscope"	item	0.1313	2	
88312	CPT12 May 25	Lab	SL130	spatula (pathology)	item	0.7845	4	
88312	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	50	
88312	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	255	
88312	CPT12 May 25	Lab	SL264	uranyl nitrate	oz	9.0242	1.69	
88312	CPT12 May 25	Lab	SL265	hydroquinone	gm	7.485	0.5	
88312	CPT12 May 25	Lab	SL266	gum mastic	gm	1.2637	1.25	
88312	CPT12 May 25	Lab	SL267	silver nitrate	gm	2.7775	0.52	
88312	CPT12 May 25	Lab	SL273	weighing boat	item	0.201	1	
88312	CPT12 May 25	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88313	CPT12 May 25	"Kit, Pack, Tray"	SA110	Congo Red kits	test	4.675	1	
88313	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88313	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88313	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
88313	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88313	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88313	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88313	CPT12 May 25	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	2.367	
88313	CPT12 May 25	Lab	SL020	bleach	ml	0.0033	30	
88313	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2	
88313	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	1	
88313	CPT12 May 25	Lab	SL077	hematoxylin reagent	ml	0.245	25	
88313	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.0545	2	
88313	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88313	CPT12 May 25	Lab	SL112	positive control slide	item	16.5925	1	
88313	CPT12 May 25	Lab	SL122	"slide, microscope"	item	0.1313	1	
88313	CPT12 May 25	Lab	SL128	sodium hydroxide	gm	0.058	1	
88313	CPT12 May 25	Lab	SL130	spatula (pathology)	item	0.7845	1	
88313	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	50	
88313	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	235	
88313	CPT12 May 25	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.1542	0.25	
88313	CPT12 May 25	Lab	SL268	ammonium hydroxide	ml	0.082	0.5	
88313	CPT12 May 25	Lab	SL273	weighing boat	item	0.201	1	
88313	CPT12 May 25	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88314	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88314	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88314	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
88314	CPT12 May 25	"Hypodermic, IV"	SC095	syringe filter	item	1.9975	1	
88314	CPT12 May 25	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	500	
88314	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88314	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88314	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	
88314	CPT12 May 25	Lab	SL020	bleach	ml	0.0033	30	
88314	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	2	
88314	CPT12 May 25	Lab	SL065	"filter paper, qualitative, 18.5cm"	item	0.2908	1	
88314	CPT12 May 25	Lab	SL077	hematoxylin reagent	ml	0.245	25	
88314	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.0545	2	
88314	CPT12 May 25	Lab	SL091	methylbutane (Isopentane)	ml	0.0258	5	
88314	CPT12 May 25	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.5	
88314	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	1	
88314	CPT12 May 25	Lab	SL112	positive control slide	item	16.5925	1	
88314	CPT12 May 25	Lab	SL183	"slide, organosilane coated"	item	0.41	2	
88314	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	125	
88314	CPT12 May 25	Lab	SL268	ammonium hydroxide	ml	0.082	0.5	
88314	CPT12 May 25	Lab	SL271	10% Gum Tragacanth/OCT	oz	1.6838	0.067	
88314	CPT12 May 25	Lab	SL272	cork disc (5 mm thick 15 mm diameter)	item	0.5825	1	
88314	CPT12 May 25	Lab	SL273	weighing boat	item	0.201	1	
88314	CPT12 May 25	Lab	SL274	Oil Red O	ml	0.5062	0.25	
88319	CPT12 May 25	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88319	CPT12 May 25	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88319	CPT12 May 25	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
88319	CPT12 May 25	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	400	
88319	CPT12 May 25	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88319	CPT12 May 25	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88319	CPT12 May 25	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
88319	CPT12 May 25	"Pharmacy, Rx"	SH099	.9% sodium chloride	ml	0.014	1.1	
88319	CPT12 May 25	Lab	SL001	acetone	ml	0.0255	112	
88319	CPT12 May 25	Lab	SL020	bleach	ml	0.0033	30	
88319	CPT12 May 25	Lab	SL030	"cover slip, glass"	item	0.079	1	
88319	CPT12 May 25	Lab	SL085	label for microscope slides	item	0.0545	1	
88319	CPT12 May 25	Lab	SL091	methylbutane (Isopentane)	ml	0.0258	5	
88319	CPT12 May 25	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.5	
88319	CPT12 May 25	Lab	SL104	"phosphate buffer, dibasic"	gm	0.0685	85	
88319	CPT12 May 25	Lab	SL105	"phosphate buffer, monobasic"	gm	0.061	15	
88319	CPT12 May 25	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	3	
88319	CPT12 May 25	Lab	SL151	xylenes solvent	ml	0.012	30	
88319	CPT12 May 25	Lab	SL183	"slide, organosilane coated"	item	0.41	1	
88319	CPT12 May 25	Lab	SL189	"ethanol, 100%"	ml	0.0033	160	
88319	CPT12 May 25	Lab	SL269	NADH	mg	0.1532	3	
88319	CPT12 May 25	Lab	SL270	Nitro blue tetrazolium	mg	0.3285	8	
88319	CPT12 May 25	Lab	SL271	10% Gum Tragacanth/OCT	oz	1.6838	0.067	
88319	CPT12 May 25	Lab	SL273	weighing boat	item	0.201	1	
88321	RUC	Lab	SL085	label for microscope slides	item	0.0545	10	0
88321	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	5.934	1	0
88323	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88323	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
88323	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.2	
88323	RUC	Lab	SL020	bleach	ml	0.0033	10	
88323	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88323	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	
88323	RUC	Lab	SL085	label for microscope slides	item	0.0545	20	
88323	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	2	
88323	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	5.934	1	
88323	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88323	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88323	RUC	Lab	SL151	xylenes solvent	ml	0.012	60	
88323	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	
88323	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	
88323	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	8	
88323	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	
88323	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88325	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	0
88325	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	0
88325	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.2	0
88325	RUC	Lab	SL020	bleach	ml	0.0033	10	0
88325	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	0
88325	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	0
88325	RUC	Lab	SL085	label for microscope slides	item	0.0545	20	0
88325	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	2	0
88325	RUC	Lab	SL120	slide container (for 20 microscope slides)	item	5.934	1	0
88325	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	0
88325	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	0
88325	RUC	Lab	SL151	xylenes solvent	ml	0.012	60	0
88325	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	60	0
88325	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	8	0
88325	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	8	0
88325	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	36	0
88325	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	0
88329	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	0
88329	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
88329	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
88329	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	0
88329	RUC	Lab	SL020	bleach	ml	0.0033	50	0
88331	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88331	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
88331	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
88331	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88331	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88331	RUC	Lab	SL020	bleach	ml	0.0033	50	
88331	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88331	RUC	Lab	SL058	embedding cassette	item	0.1492	1	
88331	RUC	Lab	SL060	embedding mold	item	1.3967	1	
88331	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88331	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88331	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.2	
88331	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.08	2	
88331	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88331	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	1	
88331	RUC	Lab	SL470	Marking Dyes	ml	0.4092	4	
88331	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88332	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88332	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88332	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88332	RUC	Lab	SL058	embedding cassette	item	0.1492	1	
88332	RUC	Lab	SL060	embedding mold	item	1.3967	1	
88332	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88332	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88332	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.2	
88332	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.08	2	
88332	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88332	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	1	
88332	RUC	Lab	SL470	Marking Dyes	ml	0.4092	4	
88332	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88333	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88333	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
88333	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
88333	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88333	RUC	Lab	SL020	bleach	ml	0.0033	50	
88333	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88333	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	
88333	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88333	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4	
88333	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	20	
88333	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88333	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	4	
88334	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88334	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88334	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88334	RUC	Lab	SL085	label for microscope slides	item	0.0545	4	
88334	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88334	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4	
88334	RUC	Lab	SL139	"stain, quick differential (5ml per slide)"	ml	0.0605	20	
88334	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88334	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88341	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.3	
88341	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88341	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88341	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3	
88341	CMS	Lab	SL058	embedding cassette	item	0.1492	1	
88341	CMS	Lab	SL060	embedding mold	item	1.3967	1	
88341	CMS	Lab	SL122	"slide, microscope"	item	0.1313	3	
88341	CMS	Lab	SL151	xylenes solvent	ml	0.012	50	
88341	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50	
88341	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88341	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.66	3	
88341	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	105.6325	0.00024691	
88341	CMS	Lab	SL477	Permanent marking pen	item	1.8575	0.00065	
88341	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0112	6	
88341	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.0493	12	
88341	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.0101	4.8	
88341	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.0343	3	
88341	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6391	3	
88341	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.0226	0.2	
88341	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	3.4637	0.2	
88341	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.3225	0.5	
88341	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	11.7112	2	
88341	CMS	Lab	SL495	Anti CD45 Monoclonal Antibody	Test	3.8275	2	
88341	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	0.1	
88341	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88342	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88342	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2	
88342	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.3	
88342	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88342	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88342	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88342	CMS	Lab	SL020	bleach	ml	0.0033	10	
88342	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3	
88342	CMS	Lab	SL058	embedding cassette	item	0.1492	1	
88342	CMS	Lab	SL060	embedding mold	item	1.3967	1	
88342	CMS	Lab	SL122	"slide, microscope"	item	0.1313	3	
88342	CMS	Lab	SL151	xylenes solvent	ml	0.012	50	
88342	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50	
88342	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88342	CMS	Lab	SL474	Confirm anti-CD15 Mouse Monoclonal Antibody (Ventana 760-2504)	test	3.6775	2	
88342	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.66	3	
88342	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	105.6325	0.00024691	
88342	CMS	Lab	SL477	Permanent marking pen	item	1.8575	0.00065	
88342	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0112	6	
88342	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.0493	12	
88342	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.0101	4.8	
88342	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.0343	3	
88342	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6391	3	
88342	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.0226	0.2	
88342	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	3.4637	0.2	
88342	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.3225	0.5	
88342	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	11.7112	2	
88342	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	0.1	
88342	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88344	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
88344	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.2	
88344	CMS	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.3	
88344	CMS	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88344	CMS	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
88344	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88344	CMS	Lab	SL020	bleach	ml	0.0033	10	
88344	CMS	Lab	SL030	"cover slip, glass"	item	0.079	3	
88344	CMS	Lab	SL058	embedding cassette	item	0.1492	1	
88344	CMS	Lab	SL060	embedding mold	item	1.3967	1	
88344	CMS	Lab	SL122	"slide, microscope"	item	0.1313	3	
88344	CMS	Lab	SL151	xylenes solvent	ml	0.012	50	
88344	CMS	Lab	SL189	"ethanol, 100%"	ml	0.0033	50	
88344	CMS	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88344	CMS	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.66	3	
88344	CMS	Lab	SL476	E-Bar Printer Ribbon (Ventana 1632900) (prints 8100 labels)	item	105.6325	0.00024691	
88344	CMS	Lab	SL477	Permanent marking pen	item	1.8575	0.0065	
88344	CMS	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0112	9	
88344	CMS	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.0493	18	
88344	CMS	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.0101	4.8	
88344	CMS	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.0343	3	
88344	CMS	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6391	3	
88344	CMS	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.0226	0.2	
88344	CMS	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	3.4637	0.2	
88344	CMS	Lab	SL485	Cover slip glue/Mounting media	ml	0.3225	0.5	
88344	CMS	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.2675	1	
88344	CMS	Lab	SL487	"monoclonal rabbit anti-AMACR, clone 13 H4 (Cell Marque)"	ml	36.4697	0.1	
88344	CMS	Lab	SL488	UltraView Universal DAB Detection Kit	test	11.7112	2	
88344	CMS	Lab	SL489	UtraView Universal Alkaline Phosphatase Red Detection Kit	per test	22.41	2	
88344	CMS	Lab	SL496	34 Beta E12	Test	4.5475	2	
88344	CMS	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	0.1	
88344	CMS	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88346	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	4	
88346	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88346	RUC	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	21.3075	0.6	
88346	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88346	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88346	RUC	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	1.94	0.01	
88346	RUC	Lab	SL001	acetone	ml	0.0255	13	
88346	RUC	Lab	SL013	antibody IgG FITC	ml	121.455	0.04	
88346	RUC	Lab	SL020	bleach	ml	0.0033	50	
88346	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4.5	
88346	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88346	RUC	Lab	SL085	label for microscope slides	item	0.0545	4.5	
88346	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	0.4	
88346	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.08	2	
88346	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	50	
88346	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	1	
88346	RUC	Lab	SL122	"slide, microscope"	item	0.1313	4.5	
88346	RUC	Lab	SL231	"kit, stain, H&E"	kit	142.91	0.1	
88346	RUC	Lab	SL473	"Slide, charged"	item	0.2505	4.5	
88346	RUC	Lab	SL518	Zeus medium	ml	0.8625	10	
88348	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
88348	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88348	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
88348	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	
88348	RUC	"Hypodermic, IV"	SC095	syringe filter	item	1.9975	1	
88348	RUC	"Accessory, Procedure"	SD082	"gas, liquid nitrogen"	ml	0.0172	250	
88348	RUC	"Accessory, Procedure"	SD086	grids	item	0.1375	4	
88348	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.3533	2	
88348	RUC	"Wound Care, Dressings"	SG081	"applicator, cotton-tipped, sterile, 6in"	item	0.0562	2	
88348	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	18	
88348	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
88348	RUC	"Office Supply, Grocery"	SK097	canned air (Dust-Off)	oz	1.1806	0.05	
88348	RUC	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	
88348	RUC	Lab	SL025	chloroform	ml	0.027	0.1	
88348	RUC	Lab	SL030	"cover slip, glass"	item	0.079	8	
88348	RUC	Lab	SL044	DDSA	gm	0.069	3	
88348	RUC	Lab	SL050	DMP 30	gm	0.2295	0.4	
88348	RUC	Lab	SL057	embedding capsules	item	0.0513	8	
88348	RUC	Lab	SL059	embedding epoxy (NMA)	ml	0.032	7	
88348	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	2	
88348	RUC	Lab	SL074	glass strip (each)	item	3.2952	0.25	
88348	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.1435	1	
88348	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03	
88348	RUC	Lab	SL085	label for microscope slides	item	0.0545	11	
88348	RUC	Lab	SL087	lens paper	item	0.0977	1	
88348	RUC	Lab	SL088	lint-free cloth	item	0.2022	1	
88348	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	
88348	RUC	Lab	SL098	osmium tetroxide	gm	35.61	0.06	
88348	RUC	Lab	SL103	petri dish	item	0.1965	1	
88348	RUC	Lab	SL108	pipette	item	0.0398	2	
88348	RUC	Lab	SL111	Poly Bed 812	gm	0.1182	10	
88348	RUC	Lab	SL116	propylene oxide	ml	0.0658	30	
88348	RUC	Lab	SL122	"slide, microscope"	item	0.1313	8	
88348	RUC	Lab	SL125	sodium cacodylate	gm	0.515	0.5	
88348	RUC	Lab	SL127	sodium citrate	gm	0.0935	0.1	
88348	RUC	Lab	SL128	sodium hydroxide	gm	0.058	1	
88348	RUC	Lab	SL147	uranyl acetate	gm	3.145	0.2	
88348	RUC	Lab	SL154	alcohol ethyl 100%	ml	0.028	20	
88348	RUC	Lab	SL155	"applicator, wood, 6.5in"	item	0.0079	3	
88348	RUC	Lab	SL158	diamond knife cleaning rod	item	1.1175	0.5	
88348	RUC	Lab	SL159	"gas, nitrogen"	cu ft	2.536	0.1	
88348	RUC	Lab	SL160	glass knife boat	item	0.205	1	
88348	RUC	Lab	SL161	grid storage box (holds 50 grids)	item	4.7825	0.08	
88348	RUC	Lab	SL162	lead citrate	gm	0.6825	0.01	
88348	RUC	Lab	SL164	osmometer sample tip and cleaner	item	0.603	1	
88348	RUC	Lab	SL165	"osmometer std, 50 mOsm-kg, 2ml amp"	ml	16.0575	0.05	
88348	RUC	Lab	SL166	"osmometer std, 850 mOsm-kg, 2ml amp"	ml	16.0575	0.05	
88348	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.0232	1	
88348	RUC	Lab	SL168	pipette bulb	item	0.2656	2	
88348	RUC	Lab	SL169	"pipette, 9inch"	item	0.0828	2	
88348	RUC	Lab	SL171	sodium barbital	gm	0.5763	0.1	
88348	RUC	Lab	SL172	specimen block storage box	item	0.9637	1	
88348	RUC	Lab	SL173	"sucrose, reagent"	gm	0.037	0.6	
88348	RUC	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1	
88348	RUC	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.4104	1	
88348	RUC	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.48	1	
88348	RUC	Lab	SL177	wax sheet	item	0.2636	1	
88348	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.0088	5	
88348	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	6	
88350	RUC	"Accessory, Procedure"	SD309	Immunofluorescent mounting media	ml	21.3075	0.4	
88350	RUC	"Office Supply, Grocery"	SK120	Hydrophobic PAP Pen	item (100 uses)	1.94	0.01	
88350	RUC	Lab	SL001	acetone	ml	0.0255	13	
88350	RUC	Lab	SL012	antibody IgA FITC	ml	99.4075	0.5	
88350	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.5	
88350	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.1	
88350	RUC	Lab	SL085	label for microscope slides	item	0.0545	1.5	
88350	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	50	
88350	RUC	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	1	
88350	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1.5	
88350	RUC	Lab	SL473	"Slide, charged"	item	0.2505	1.5	
88350	RUC	Lab	SL518	Zeus medium	ml	0.8625	10	
88355	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
88355	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
88355	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	
88355	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.048	2	
88355	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88355	RUC	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	2	
88355	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	2	
88355	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	
88355	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	6	
88355	RUC	"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	0.01	
88355	RUC	"Office Supply, Grocery"	SK103	"cork sheet, 1cm x 1 cm"	item	0.0275	4	
88355	RUC	"Office Supply, Grocery"	SK104	"foil, aluminum, 10 cm x 10 cm"	item	0.02	1	
88355	RUC	Lab	SL004	alcohol reagent solvent	ml	0.011	250	
88355	RUC	Lab	SL005	"alcohol, acid"	ml	0.0105	5.4	
88355	RUC	Lab	SL020	bleach	ml	0.0033	50	
88355	RUC	Lab	SL026	clearing agent (Histo-clear)	ml	0.011	12	
88355	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3	
88355	RUC	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.0493	0.1	
88355	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88355	RUC	Lab	SL058	embedding cassette	item	0.1492	1	
88355	RUC	Lab	SL060	embedding mold	item	1.3967	1	
88355	RUC	Lab	SL061	embedding paraffin	kg	5.3473	0.012	
88355	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	50	
88355	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	16	
88355	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	0.2	
88355	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88355	RUC	Lab	SL090	"methanol, absolute, 99.8% min."	ml	0.0238	1.5	
88355	RUC	Lab	SL091	methylbutane (Isopentane)	ml	0.0258	300	
88355	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.0715	0.5	
88355	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	3	
88355	RUC	Lab	SL097	OCT Tissue-Tek	ml	0.08	2	
88355	RUC	Lab	SL107	phosphate buffered saline solution	ml	0.0333	11	
88355	RUC	Lab	SL108	pipette	item	0.0398	1	
88355	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88355	RUC	Lab	SL134	"stain, frozen section, H&E (1ml per slide)"	ml	0.5952	6	
88355	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	5.4	
88355	RUC	Lab	SL149	waterbath reagent	ml	0.002	3	
88355	RUC	Lab	SL151	xylenes solvent	ml	0.012	60	
88355	RUC	Lab	SL188	"EM fixative, karnovsky's"	ml	0.1445	15	
88355	RUC	Lab	SL198	"label, vial"	item	0.007	2	
88355	RUC	Lab	SL199	"lithium carbonate, saturated"	ml	0.0125	5.4	
88355	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	5.4	
88355	RUC	Lab	SL203	"vial, 10 ml, plastic (-70 degree storage)"	item	1.087	1	
88355	RUC	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.731	1	
88355	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.0088	5	
88355	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88356	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	6	
88356	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
88356	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	
88356	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	
88356	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	
88356	RUC	"Hypodermic, IV"	SC095	syringe filter	item	1.9975	4	
88356	RUC	"Accessory, Procedure"	SD086	grids	item	0.1375	4	
88356	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.3533	2	
88356	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	2	
88356	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	5	
88356	RUC	Lab	SL005	"alcohol, acid"	ml	0.0105	5.4	
88356	RUC	Lab	SL018	"beaker, 250 ml"	item	0.7505	3	
88356	RUC	Lab	SL020	bleach	ml	0.0033	40	
88356	RUC	Lab	SL030	"cover slip, glass"	item	0.079	5	
88356	RUC	Lab	SL031	"cover slip, liquid (M-1)"	ml	0.0493	0.1	
88356	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
88356	RUC	Lab	SL044	DDSA	gm	0.069	3	
88356	RUC	Lab	SL050	DMP 30	gm	0.2295	0.4	
88356	RUC	Lab	SL057	embedding capsules	item	0.0513	8	
88356	RUC	Lab	SL059	embedding epoxy (NMA)	ml	0.032	7	
88356	RUC	Lab	SL064	"filter paper, qualitative, <15.0cm"	item	0.1288	2	
88356	RUC	Lab	SL074	glass strip (each)	item	3.2952	0.25	
88356	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.1435	15	
88356	RUC	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	0.03	
88356	RUC	Lab	SL085	label for microscope slides	item	0.0545	8	
88356	RUC	Lab	SL087	lens paper	item	0.0977	1	
88356	RUC	Lab	SL088	lint-free cloth	item	0.2022	1	
88356	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	3	
88356	RUC	Lab	SL098	osmium tetroxide	gm	35.61	0.06	
88356	RUC	Lab	SL103	petri dish	item	0.1965	1	
88356	RUC	Lab	SL108	pipette	item	0.0398	1	
88356	RUC	Lab	SL111	Poly Bed 812	gm	0.1182	10	
88356	RUC	Lab	SL116	propylene oxide	ml	0.0658	30	
88356	RUC	Lab	SL122	"slide, microscope"	item	0.1313	8	
88356	RUC	Lab	SL149	waterbath reagent	ml	0.002	3	
88356	RUC	Lab	SL160	glass knife boat	item	0.205	2	
88356	RUC	Lab	SL167	"paper, weighing (glassine)"	item	0.0232	1	
88356	RUC	Lab	SL168	pipette bulb	item	0.2656	4	
88356	RUC	Lab	SL169	"pipette, 9inch"	item	0.0828	4	
88356	RUC	Lab	SL172	specimen block storage box	item	0.9637	1	
88356	RUC	Lab	SL174	Toluidine Blue O (for microscopy)	gm	0.58	0.1	
88356	RUC	Lab	SL175	underpad 2ft x 2ft (lab bench)	item	0.4104	1	
88356	RUC	Lab	SL176	"vial, specimen-sample, 4ml"	item	0.48	1	
88356	RUC	Lab	SL177	wax sheet	item	0.2636	1	
88356	RUC	Lab	SL199	"lithium carbonate, saturated"	ml	0.0125	5.4	
88356	RUC	Lab	SL204	"vial, kimble sample, non sterile, glass, 20 ml"	item	0.731	1	
88356	RUC	Infection Control	SM017	formaldehyde spill control	ml	0.0088	100	
88356	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	6	
88358		"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88358		"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88358		Lab	SL005	"alcohol, acid"	ml	0.0105	0.2	
88358		Lab	SL030	"cover slip, glass"	item	0.079	3	
88358		Lab	SL051	DNA 0.05N HCl rinse reagent	ml	0.004	0.2	
88358		Lab	SL052	DNA 0.1N HCl staining soln	ml	0.004	0.2	
88358		Lab	SL053	DNA 5N HCl	ml	0.004	0.2	
88358		Lab	SL054	DNA calibration slides	item	1.5325	1	
88358		Lab	SL055	DNA stain kit (per test)	item	148.7075	0.1	
88358		Lab	SL085	label for microscope slides	item	0.0545	3	
88358		Lab	SL112	positive control slide	item	16.5925	1	
88358		Lab	SL122	"slide, microscope"	item	0.1313	2	
88358		Lab	SL135	"stain, hematoxylin"	ml	0.044	5	
88358		Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	
88360	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88360	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07	
88360	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.3	
88360	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.03	
88360	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88360	RUC	Lab	SL020	bleach	ml	0.0033	3	
88360	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3	
88360	RUC	Lab	SL058	embedding cassette	item	0.1492	0.02	
88360	RUC	Lab	SL060	embedding mold	item	1.3967	0.02	
88360	RUC	Lab	SL122	"slide, microscope"	item	0.1313	3	
88360	RUC	Lab	SL151	xylenes solvent	ml	0.012	50	
88360	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50	
88360	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88360	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.66	3	
88360	RUC	Lab	SL477	Permanent marking pen	item	1.8575	0.0065	
88360	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0112	6	
88360	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.0493	12	
88360	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.0101	4.8	
88360	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.0343	3	
88360	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6391	3	
88360	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.0226	0.2	
88360	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	3.4637	0.2	
88360	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.3225	0.5	
88360	RUC	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.2675	2	
88360	RUC	Lab	SL488	UltraView Universal DAB Detection Kit	test	11.7112	2	
88360	RUC	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	91.4525	2	
88360	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	0.1	
88360	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88361	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88361	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.07	
88361	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.3	
88361	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.03	
88361	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88361	RUC	Lab	SL020	bleach	ml	0.0033	3	
88361	RUC	Lab	SL030	"cover slip, glass"	item	0.079	3	
88361	RUC	Lab	SL058	embedding cassette	item	0.1492	0.02	
88361	RUC	Lab	SL060	embedding mold	item	1.3967	0.02	
88361	RUC	Lab	SL122	"slide, microscope"	item	0.1313	3	
88361	RUC	Lab	SL151	xylenes solvent	ml	0.012	50	
88361	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	50	
88361	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	50	
88361	RUC	Lab	SL475	E-bar labels (Ventana 1358501)	item	0.66	3	
88361	RUC	Lab	SL477	Permanent marking pen	item	1.8575	0.0065	
88361	RUC	Lab	SL478	Reaction buffer 10X (Ventana 950-300)	ml	0.0112	6	
88361	RUC	Lab	SL479	Liquid coverslip (Ventana 650-010)	ml	0.0493	12	
88361	RUC	Lab	SL480	SSC (10X) (Ventana 950-110)	ml	0.0101	4.8	
88361	RUC	Lab	SL481	EZ Prep (10X) (Ventana 950-102)	ml	0.0343	3	
88361	RUC	Lab	SL482	Cell Conditioning 1 (Ventana 950-124)	ml	0.6391	3	
88361	RUC	Lab	SL483	Hematoxylin II (Ventana 790-2208)	ml	0.0226	0.2	
88361	RUC	Lab	SL484	Bluing reagent (Ventana 760-2037)	ml	3.4637	0.2	
88361	RUC	Lab	SL485	Cover slip glue/Mounting media	ml	0.3225	0.5	
88361	RUC	Lab	SL486	250 Test Prep Kit # 78 (Ventana 786-3034)	per test	0.2675	2	
88361	RUC	Lab	SL488	UltraView Universal DAB Detection Kit	test	11.7112	2	
88361	RUC	Lab	SL493	Antibody Estrogen Receptor monoclonal	Test	91.4525	2	
88361	RUC	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	0.1	
88361	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	2	
88362	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	3	
88362	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
88362	RUC	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
88362	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
88362	RUC	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	2	
88362	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	2	
88362	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	2	
88362	RUC	"Cutters, Closures, Cautery"	SF005	"blade, single edge"	item	0.3533	4	
88362	RUC	Lab	SL001	acetone	ml	0.0255	5	
88362	RUC	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	120	
88362	RUC	Lab	SL018	"beaker, 250 ml"	item	0.7505	6	
88362	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	2	
88362	RUC	Lab	SL044	DDSA	gm	0.069	12	
88362	RUC	Lab	SL050	DMP 30	gm	0.2295	1	
88362	RUC	Lab	SL061	embedding paraffin	kg	5.3473	0.01	
88362	RUC	Lab	SL075	glutaraldehyde 25%	ml	0.1435	0.5	
88362	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88362	RUC	Lab	SL088	lint-free cloth	item	0.2022	1	
88362	RUC	Lab	SL098	osmium tetroxide	gm	35.61	0.01	
88362	RUC	Lab	SL099	paraformaldehyde	gm	0.0673	0.005	
88362	RUC	Lab	SL103	petri dish	item	0.1965	2	
88362	RUC	Lab	SL104	"phosphate buffer, dibasic"	gm	0.0685	0.3	
88362	RUC	Lab	SL105	"phosphate buffer, monobasic"	gm	0.061	0.3	
88362	RUC	Lab	SL108	pipette	item	0.0398	6	
88362	RUC	Lab	SL111	Poly Bed 812	gm	0.1182	30	
88362	RUC	Lab	SL116	propylene oxide	ml	0.0658	3	
88362	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88362	RUC	Lab	SL125	sodium cacodylate	gm	0.515	0.016	
88362	RUC	Lab	SL127	sodium citrate	gm	0.0935	0.25	
88362	RUC	Lab	SL128	sodium hydroxide	gm	0.058	5	
88362	RUC	Lab	SL130	spatula (pathology)	item	0.7845	2	
88362	RUC	Lab	SL147	uranyl acetate	gm	3.145	1	
88362	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	8	
88364	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	2	
88364	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.25	
88364	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.25	
88364	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.5	
88364	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.25	
88364	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4	
88364	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5	
88364	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88364	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88364	RUC	Lab	SL080	immersion oil	ml	0.079	0.1	
88364	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88364	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88364	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88364	RUC	Lab	SL178	0.2N HCL	ml	0.0323	12.5	
88364	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.25	
88364	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	12.5	
88364	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	1	
88364	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.015	
88364	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5	
88364	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5	
88364	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	2	
88364	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88364	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5	
88364	RUC	Lab	SL500	CMV DNA Probe Cocktail	ul	0.0988	40	
88364	RUC	Lab	SL512	positive control slide (proxy for CMV Positive Control Slide)	item	16.8	0.5	
88364	RUC	Lab	SL513	positive control slide (proxy for CMV Negative Control Slide)	item	16.8	0.5	
88364	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.5	
88365	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	2	
88365	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.25	
88365	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25	
88365	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.25	
88365	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.5	
88365	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.25	
88365	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4	
88365	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5	
88365	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88365	RUC	Lab	SL020	bleach	ml	0.0033	10	
88365	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88365	RUC	Lab	SL080	immersion oil	ml	0.079	0.1	
88365	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88365	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88365	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88365	RUC	Lab	SL178	0.2N HCL	ml	0.0323	12.5	
88365	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.25	
88365	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	12.5	
88365	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	1	
88365	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.015	
88365	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5	
88365	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5	
88365	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	12.5	
88365	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5	
88365	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	2	
88365	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88365	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5	
88365	RUC	Lab	SL497	(EBER) DNA Probe Cocktail	Test	111.4425	1.6	
88365	RUC	Lab	SL507	EBER positive control slide	item	22.465	0.5	
88365	RUC	Lab	SL516	positive control slide (proxy for EBER Negative Control Slide)	item	16.8	0.5	
88365	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.25	
88365	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.5	
88366	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.25	
88366	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25	
88366	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.25	
88366	RUC	"Accessory, Procedure"	SD178	"kit, bcr/abl DNA Probe"	kit	43.5725	2	
88366	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.5	
88366	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.25	
88366	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4	
88366	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5	
88366	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88366	RUC	Lab	SL020	bleach	ml	0.0033	10	
88366	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88366	RUC	Lab	SL080	immersion oil	ml	0.079	0.1	
88366	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88366	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88366	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88366	RUC	Lab	SL178	0.2N HCL	ml	0.0323	12.5	
88366	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.25	
88366	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	12.5	
88366	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	1	
88366	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.015	
88366	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	62.5	
88366	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5	
88366	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	12.5	
88366	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5	
88366	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	2	
88366	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88366	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	62.5	
88366	RUC	Lab	SL514	positive control slide (proxy for IGH@BCL2 Positive Control Slide)	item	16.8	0.5	
88366	RUC	Lab	SL515	positive control slide (proxy for IGH@BCL2 Negative Control Slide )	item	16.8	0.5	
88366	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.25	
88366	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.5	
88367	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	1.4	
88367	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.125	
88367	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125	
88367	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.125	
88367	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.2	
88367	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.125	
88367	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3	
88367	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	
88367	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88367	RUC	Lab	SL020	bleach	ml	0.0033	4.5	
88367	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4	
88367	RUC	Lab	SL080	immersion oil	ml	0.079	0.05	
88367	RUC	Lab	SL085	label for microscope slides	item	0.0545	1.4	
88367	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1.4	
88367	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88367	RUC	Lab	SL178	0.2N HCL	ml	0.0323	6.25	
88367	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.125	
88367	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	6.25	
88367	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	0.75	
88367	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.0075	
88367	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75	
88367	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25	
88367	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	6.25	
88367	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8	
88367	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	0.75	
88367	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88367	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75	
88367	RUC	Lab	SL498	Kappa Probe Cocktail	ul	0.0887	28	
88367	RUC	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	16.8	0.2	
88367	RUC	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	16.8	0.2	
88367	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.125	
88367	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.2	
88368	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	1.4	
88368	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1.25	
88368	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125	
88368	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.125	
88368	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.2	
88368	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.125	
88368	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3	
88368	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	
88368	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88368	RUC	Lab	SL020	bleach	ml	0.0033	4.5	
88368	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4	
88368	RUC	Lab	SL080	immersion oil	ml	0.079	0.05	
88368	RUC	Lab	SL085	label for microscope slides	item	0.0545	1.4	
88368	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1.4	
88368	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88368	RUC	Lab	SL178	0.2N HCL	ml	0.0323	6.25	
88368	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.125	
88368	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	6.25	
88368	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	0.75	
88368	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.0075	
88368	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	18.75	
88368	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25	
88368	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	6.25	
88368	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8	
88368	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	0.75	
88368	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88368	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	18.75	
88368	RUC	Lab	SL498	Kappa Probe Cocktail	ul	0.0887	28	
88368	RUC	Lab	SL508	positive control slide (proxy for Kappa Positive Control Slide)	item	16.8	0.2	
88368	RUC	Lab	SL509	positive control slide (proxy for Kappa Negative Control Slide)	item	16.8	0.2	
88368	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1.25	
88368	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.2	
88369	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	2	
88369	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.25	
88369	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.25	
88369	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.5	
88369	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.25	
88369	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4	
88369	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5	
88369	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88369	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2	
88369	RUC	Lab	SL080	immersion oil	ml	0.079	0.1	
88369	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88369	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88369	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88369	RUC	Lab	SL178	0.2N HCL	ml	0.0323	12.5	
88369	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.25	
88369	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	12.5	
88369	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	1	
88369	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.015	
88369	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5	
88369	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5	
88369	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	2	
88369	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88369	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5	
88369	RUC	Lab	SL499	Lambda Probe Cocktail	ul	0.0813	40	
88369	RUC	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	16.8	0.5	
88369	RUC	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	16.8	0.5	
88369	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.5	
88373	RUC	"Kit, Pack, Tray"	SA117	Universal Detection Kit	kit	4.6275	1.4	
88373	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.125	
88373	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.125	
88373	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.2	
88373	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.125	
88373	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3	
88373	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	
88373	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88373	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1.4	
88373	RUC	Lab	SL080	immersion oil	ml	0.079	0.05	
88373	RUC	Lab	SL085	label for microscope slides	item	0.0545	1.4	
88373	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1.4	
88373	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88373	RUC	Lab	SL178	0.2N HCL	ml	0.0323	6.25	
88373	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.125	
88373	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	6.25	
88373	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	0.75	
88373	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.0075	
88373	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25	
88373	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8	
88373	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	1.4	
88373	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88373	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25	
88373	RUC	Lab	SL499	Lambda Probe Cocktail	ul	0.0813	28	
88373	RUC	Lab	SL510	positive control slide (proxy for Lambda Positive Control Slide)	item	16.8	0.2	
88373	RUC	Lab	SL511	positive control slide (proxy for Lambda Negative Control Slide)	item	16.8	0.2	
88373	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.2	
88374	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.125	
88374	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.125	
88374	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.125	
88374	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.2	
88374	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.125	
88374	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.3	
88374	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	
88374	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88374	RUC	Lab	SL020	bleach	ml	0.0033	4.5	
88374	RUC	Lab	SL030	"cover slip, glass"	item	0.079	2.8	
88374	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.25	
88374	RUC	Lab	SL080	immersion oil	ml	0.079	0.05	
88374	RUC	Lab	SL085	label for microscope slides	item	0.0545	1.4	
88374	RUC	Lab	SL122	"slide, microscope"	item	0.1313	1.4	
88374	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88374	RUC	Lab	SL178	0.2N HCL	ml	0.0323	6.25	
88374	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.125	
88374	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	6.25	
88374	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	0.75	
88374	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.0075	
88374	RUC	Lab	SL184	"slide, negative control, Her-2"	item	27.36	0.2	
88374	RUC	Lab	SL185	"slide, positive control, Her-2"	item	28.3	0.2	
88374	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	31.25	
88374	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	6.25	
88374	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	6.25	
88374	RUC	Lab	SL192	formamide	ml	0.215	6.25	
88374	RUC	Lab	SL194	Hemo-De	ml	0.0083	18.8	
88374	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	1.4	
88374	RUC	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	98.8625	2.4	
88374	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88374	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	31.25	
88374	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.125	
88374	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.2	
88377	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.25	
88377	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.25	
88377	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	0.25	
88377	RUC	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	0.5	
88377	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	0.25	
88377	RUC	"Pharmacy, NonRx"	SJ070	rubber cement	ml	0.12	0.4	
88377	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.5	
88377	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	175	
88377	RUC	Lab	SL020	bleach	ml	0.0033	10	
88377	RUC	Lab	SL030	"cover slip, glass"	item	0.079	4	
88377	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	0.5	
88377	RUC	Lab	SL080	immersion oil	ml	0.079	0.1	
88377	RUC	Lab	SL085	label for microscope slides	item	0.0545	2	
88377	RUC	Lab	SL122	"slide, microscope"	item	0.1313	2	
88377	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	16	
88377	RUC	Lab	SL178	0.2N HCL	ml	0.0323	12.5	
88377	RUC	Lab	SL179	1.0N NaOH	ml	0.5292	0.25	
88377	RUC	Lab	SL180	phosphate buffered saline (PBS)	ml	0.0213	12.5	
88377	RUC	Lab	SL181	"pipette tips, sterile"	item	0.0945	1	
88377	RUC	Lab	SL182	mounting media (DAPI II counterstain)	ml	53.855	0.015	
88377	RUC	Lab	SL184	"slide, negative control, Her-2"	item	27.36	0.5	
88377	RUC	Lab	SL185	"slide, positive control, Her-2"	item	28.3	0.5	
88377	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	37.5	
88377	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	12.5	
88377	RUC	Lab	SL191	"ethanol, 85%"	ml	0.045	12.5	
88377	RUC	Lab	SL192	formamide	ml	0.215	12.5	
88377	RUC	Lab	SL194	Hemo-De	ml	0.0083	37.5	
88377	RUC	Lab	SL195	"kit, FISH paraffin pretreatment"	kit	21.46	2	
88377	RUC	Lab	SL196	"kit, HER-2/neu DNA Probe"	kit assay	98.8625	3	
88377	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	4	
88377	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	37.5	
88377	RUC	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	0.25	
88377	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	0.5	
88380	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
88380	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88380	RUC	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	
88380	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88380	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88380	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1	
88380	RUC	Lab	SL085	label for microscope slides	item	0.0545	11	
88380	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	2	
88380	RUC	Lab	SL122	"slide, microscope"	item	0.1313	11	
88380	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	1	
88380	RUC	Lab	SL151	xylenes solvent	ml	0.012	100	
88380	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	100	
88380	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	100	
88380	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	1	
88380	RUC	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.0765	2	
88380	RUC	Lab	SL246	"buffer, lysis"	ml	0.49	0.05	
88380	RUC	Lab	SL247	"caps, Capsure Macro LCM"	ml	4.7225	2	
88380	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	100	
88380	RUC	Lab	SL250	methylene blue stain	ml	0.1935	11	
88380	RUC	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.0675	2	
88380	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88381	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	
88381	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1	
88381	RUC	"Cutters, Closures, Cautery"	SF053	"blade, sharp pointed surgical"	item	0.8475	2	
88381	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
88381	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
88381	RUC	Lab	SL030	"cover slip, glass"	item	0.079	1	
88381	RUC	Lab	SL085	label for microscope slides	item	0.0545	9	
88381	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	2	
88381	RUC	Lab	SL122	"slide, microscope"	item	0.1313	9	
88381	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	1	
88381	RUC	Lab	SL151	xylenes solvent	ml	0.012	100	
88381	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	100	
88381	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	100	
88381	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	1	
88381	RUC	Lab	SL240	"tube, centrifuge, micro, 1.5 ml, DNase free snap lock"	item	0.0765	2	
88381	RUC	Lab	SL246	"buffer, lysis"	ml	0.49	0.05	
88381	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	100	
88381	RUC	Lab	SL250	methylene blue stain	ml	0.1935	8	
88381	RUC	Lab	SL251	Rnase-free water	ml	1.565	50	
88381	RUC	Lab	SL494	Surface Decontaminant (DNA Away)	ml	0.0675	2	
88381	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
88387	CPT10 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
88387	CPT10 19	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
88387	CPT10 19	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	1	
88387	CPT10 19	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88387	CPT10 19	Lab	SL020	bleach	ml	0.0033	50	
88387	CPT10 19	Lab	SL103	petri dish	item	0.1965	1	
88387	CPT10 19	Lab	SL167	"paper, weighing (glassine)"	item	0.0232	1	
88387	CPT10 19	Lab	SL245	"weighing dishes, pour boats"	item	0.2095	1	
88387	CPT10 19	Lab	SL263	"Plastic storage container, 11oz"	item		1	
88388	CPT10 19	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
88388	CPT10 19	"Accessory, Procedure"	SD226	"forceps, sterile, blunt tip, polystyrene"	item	0.8713	1	
88388	CPT10 19	"Cutters, Closures, Cautery"	SF047	"scalpel, safety, surgical, with blade (#10-20)"	item	2.8497	1	
88388	CPT10 19	Lab	SL020	bleach	ml	0.0033	50	
88388	CPT10 19	Lab	SL103	petri dish	item	0.1965	1	
88388	CPT10 19	Lab	SL167	"paper, weighing (glassine)"	item	0.0232	1	
88388	CPT10 19	Lab	SL245	"weighing dishes, pour boats"	item	0.2095	1	
88388	CPT10 19	Lab	SL263	"Plastic storage container, 11oz"	item		1	
89049	RUC05	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	0
89049	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
89049	RUC05	"Gown, Drape"	SB030	"lab coat, staff"	item	5.709	1	0
89049	RUC05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	8	0
89049	RUC05	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	0
89049	RUC05	"Cutters, Closures, Cautery"	SF050	"suture, plain, gut, 2-0 to 6-0"	item	4.7086	4	0
89049	RUC05	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.1003	30	0
89049	RUC05	Lab	SL104	"phosphate buffer, dibasic"	gm	0.0685	0.6	0
89049	RUC05	Lab	SL110	pipette tip (blue-yellow)	item	0.0685	24	0
89049	RUC05	Lab	SL143	test tube	item	0.2548	8	0
89049	RUC05	Lab	SL211	caffeine	gm	0.214	2	0
89049	RUC05	Lab	SL212	"CHCT buffer (NaCl, NaHCO3, KCl, KH2PO4, MgSO4,CaCl12-2H20)"	liter	1.3325	1	0
89049	RUC05	Lab	SL222	"gas, halothane"	ml	0.243	24	0
89049	RUC05	Lab	SL223	"gas, mixture, tank G, 5% CO2 and 95% O2"	item	19.87	0.333	0
89049	RUC05	Lab	SL224	"gas, mixture, tank H"	item	21.1475	0.333	0
89049	RUC05	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.1542	1	0
89049	RUC05	Lab	SL232	KOH	gm	0.084	2	0
89049	RUC05	Lab	SL245	"weighing dishes, pour boats"	item	0.2095	4	0
89049	RUC05	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	8	0
89049	RUC05	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	50	0
89220		"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	4	
89220		Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	
90460	CPT11 18	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.5	
90460	CPT11 18	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
90460	CPT11 18	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
90460	CPT11 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
90460	CPT11 18	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	
90471	Feb08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
90471	Feb08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
90471	Feb08	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
90471	Feb08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
90471	Feb08	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	
90472	Feb08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
90472	Feb08	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
90472	Feb08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
90472	Feb08	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	
90473	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
90473	CPT11	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
90473	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
90473	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
90473	CPT11	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	
90474	CPT11	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
90474	CPT11	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
90474	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
90474	CPT11	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	1	0
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
90791	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	1	0
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
90792	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90832	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90833	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90834	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90836	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90837	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90838	CPT13 May 28/60	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90839	CPT14 May 48	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	0.25	0
90839	CPT14 May 48	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.1	0
90839	CPT14 May 48	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		0.5	0
90840	CPT14 May 48	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90845	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90846	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90847	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90853	CPT13 May 28/60	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
90865	Mar03 8	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
90865	Mar03 8	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
90865	Mar03 8	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	198	0
90870	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
90870	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
90870	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	0
90870	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	2	0
90870	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	2	0
90870	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
90870	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	8	0
90875		"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	5.06	0.04	0
90875		"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	0.2	0
90876	CMS	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	1	0
90876	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	0
90876	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
90876	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	1	0
90901	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
90901	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
90901	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
90901	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
90901	CMS	"Accessory, Procedure"	SD063	"electrode, TENS-EMS, 2in x 2in (4 pack uou)"	item	4.6878	0.5	0
90901	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
90901	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
90901	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.022	1	0
90901	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
90901	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	0
90901	CMS	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
90911	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
90911	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
90911	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
90911	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
90911	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
90911	CMS	"Accessory, Procedure"	SD057	"electrode, external pelvic muscle"	item	1.325	3	0
90911	CMS	"Accessory, Procedure"	SD113	"sensor, EMG, vaginal-rectal"	item	46.7125	0.2	0
90911	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
90911	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
90911	CMS	"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.022	1	0
90911	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	0
90911	CMS	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
91010	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91010	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91010	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
91010	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91010	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91010	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91010	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91010	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	
91010	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91010	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	20	
91010	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91010	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	2	
91010	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91010	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91010	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91010	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91010	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91010	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
91010	CMS	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
91010	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	
91010	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6	
91013	CPT11 19	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
91013	CPT11 19	"Accessory, Procedure"	SD029	"catheter, red rubber"	item	0.9472	1	
91013	CPT11 19	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91013	CPT11 19	Lab	SL229	"HCl, 1% hydrochloric acid"	cc	0.1542	10	
91020	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91020	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91020	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
91020	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91020	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91020	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91020	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	1	
91020	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	
91020	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91020	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91020	CMS	"Accessory, Procedure"	SD203	"sensor, manometry"	item	33.11	1	
91020	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91020	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91020	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	
91020	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91020	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91020	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91020	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91020	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91020	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91020	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
91022	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91022	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91022	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
91022	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91022	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91022	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
91022	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91022	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	
91022	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91022	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91022	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91022	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91022	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	5	
91022	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	
91022	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91022	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91022	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91022	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91022	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
91030	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91030	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91030	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
91030	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91030	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91030	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
91030	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
91030	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	8	
91030	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91030	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	
91030	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91030	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91030	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91030	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91030	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	20	
91030	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91030	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91030	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91030	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91030	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91030	CMS	Lab	SL079	"hydrochloric acid 0.1%, std soln"	ml	0.017	1	
91034	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91034	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91034	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91034	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91034	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91034	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91034	CMS	"Accessory, Procedure"	SD060	"electrode, internal for pH"	item	43.3975	1	
91034	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91034	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91034	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91034	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91034	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.425	5	
91034	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	
91034	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91034	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91034	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91034	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60	
91034	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91035	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91035	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91035	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91035	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91035	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91035	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91035	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91035	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91035	CMS	"Accessory, Procedure"	SD204	"sensor, pH capsule (Bravo)"	item	231.605	1	
91035	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91035	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.425	5	
91035	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	
91035	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91035	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91035	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91035	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91037	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91037	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91037	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91037	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91037	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91037	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91037	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91037	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91037	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91037	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91037	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.425	5	
91037	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	
91037	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91037	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91037	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91037	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91037	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.2775	80	
91037	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	4	
91038	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91038	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91038	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91038	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91038	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91038	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91038	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91038	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91038	CMS	"Accessory, Procedure"	SD230	"impedance catheter, infusion"	item	98.1025	1	
91038	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	
91038	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91038	CMS	"Wound Care, Dressings"	SG089	"tape, phix strips (for nasal catheter)"	item	1.425	5	
91038	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	
91038	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91038	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91038	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91038	CMS	"Pharmacy, NonRx"	SJ039	pH buffer solution	ml	0.044	60	
91038	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91038	CMS	"Pharmacy, NonRx"	SJ068	"saline, viscous (swallow challenge medium)"	ml	0.2775	1	
91038	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
91038	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91038	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
91038	CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	2	
91040	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91040	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91040	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91040	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91040	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91040	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91040	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91040	CMS	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	266.9925	1	
91040	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	
91040	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
91040	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	20	
91040	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91040	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91040	CMS	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
91040	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91040	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
91065	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91065	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91065	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
91065	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91065	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91065	CMS	"Hypodermic, IV"	SC050	"stop cock, 4-way"	item	1.3807	1	
91065	CMS	"Hypodermic, IV"	SC094	"Syringe, 35 ml, Monoject, Plastic"	item	2.415	1	
91065	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	
91065	CMS	"Accessory, Procedure"	SD224	"Filter, Foam Plug (10/Pk)"	item	0.365	1	
91065	CMS	"Accessory, Procedure"	SD225	Flutter Valve for Tee-Connector	item	1.31	1	
91065	CMS	"Accessory, Procedure"	SD234	"QuinGas-3, 150 H2, 75 CH4, 6% CO2, BreathTracker SC Calibration Gas"	cc	1.218	1	
91065	CMS	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.16	1	
91065	CMS	"Accessory, Procedure"	SD237	Sivrite-4	g	0.092	7.5	
91065	CMS	"Accessory, Procedure"	SD241	"Substrate, D-Xylose, 25 gm Packet"	item	11.9175	1	
91065	CMS	"Accessory, Procedure"	SD242	"Tee-Connector, Plastic"	item	1.525	1	
91065	CMS	"Accessory, Procedure"	SD244	Water Barriers/Dust Traps (5/Pk)	item	5.6525	1	
91065	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
91065	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91065	CMS	Lab	SL048	desiccant-absorber	item	0.156	1	
91065	CMS	Infection Control	SM008	biohazard specimen transport bag	item	0.0462	1	
91110	CMS	"Kit, Pack, Tray"	SA005	"kit, capsule endoscopy w-application supplies (M2A)"	kit	514.145	1	
91110	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91110	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
91110	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91110	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	3	
91111	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91111	CMS	"Kit, Pack, Tray"	SA094	"kit, capsule, ESO,  endoscopy w-application supplies (ESO)"	kit	530.7625	1	
91111	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
91111	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91111	CMS	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	5	
91112	CPT13 May 29	"Accessory, Procedure"	SD272	SmartPill capsule	item	764.5975	1	
91120	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91120	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	1	
91120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
91120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
91120	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
91120	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91120	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91120	CMS	"Accessory, Procedure"	SD216	"catheter, balloon, esophageal or rectal (graded distention test)"	item	266.9925	1	
91120	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	5	
91120	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
91120	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	
91120	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91122	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91122	CMS	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
91122	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
91122	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
91122	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
91122	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91122	CMS	"Accessory, Procedure"	SD125	transducer dome (pressure)	item	6.6325	1	
91122	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	
91122	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91122	CMS	"Accessory, Procedure"	SD203	"sensor, manometry"	item	33.11	1	
91122	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	5	
91122	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91122	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	2	
91122	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91122	CMS	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	
91122	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
91132	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91132	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	11	
91132	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	
91132	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	86.6675	1	
91132	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.7052	1	
91132	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91132	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91132	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
91132	CMS	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
91133	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
91133	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	
91133	CMS	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	11	
91133	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	
91133	CMS	"Accessory, Procedure"	SD111	respiratory monitoring belt	item	86.6675	1	
91133	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	
91133	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.7052	1	
91133	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
91133	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
91133	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
91133	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
91133	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
91133	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	4	
91133	CMS	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
91200	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	1	
91200	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
91200	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
92002	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92002	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92002	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92004	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92004	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92004	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92012	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92012	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92012	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92014	CMS	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92014	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92014	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92020	Sep02	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92020	Sep02	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	2	0
92065	Jan02	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	1	
92065	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
92072	CPT12 May 27	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92081	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.4965	1	
92082	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.4965	1	
92083	CPT13 May 52	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.4965	1	
92100	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	4	0
92225	Oct00	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92226	Oct00	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92227	CPT11 22	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.6995	1	
92228	CPT11 22	"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.6995	1	
92230	Sep04	"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	0
92230	Sep04	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
92230	Sep04	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
92230	Sep04	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
92230	Sep04	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
92230	Sep04	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	6.659	1	0
92230	Sep04	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
92235	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
92235	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
92235	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	1	
92235	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
92235	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
92235	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92235	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
92235	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	6.659	1	
92235	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
92240	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
92240	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
92240	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	1	
92240	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
92240	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
92240	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92240	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
92240	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
92240	RUC	Lab	SL083	indocyanine green (25ml uou)	item	76.8912	1	
92242	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
92242	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
92242	RUC	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	2	
92242	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
92242	RUC	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	
92242	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92242	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
92242	RUC	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	6.659	1	
92242	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
92242	RUC	Lab	SL083	indocyanine green (25ml uou)	item	76.8912	1	
92260	Sep04 G	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92260	Sep04 G	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	0
92265	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
92265	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
92265	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
92265	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
92265	CMS	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.01	1	
92265	CMS	Lab	SL187	"balance salt solution (BSS), sterile, 15cc"	ml		15	
92270	Apr00	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
92270	Apr00	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
92270	Apr00	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92270	Apr00	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	0.1	
92270	Apr00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	
92283	Jan02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92283	Jan02	"Accessory, Procedure"	SD103	"occluder, clip-on"	item	1.4965	1	
92283	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92285	CPT11 72	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	4	
92287	Sep04 G	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
92287	Sep04 G	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
92287	Sep04 G	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
92287	Sep04 G	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
92287	Sep04 G	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	
92287	Sep04 G	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
92287	Sep04 G	"Pharmacy, Rx"	SH033	fluorescein inj (5ml uou)	item	6.659	1	
92287	Sep04 G	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
92287	Sep04 G	"Office Supply, Grocery"	SK030	"film, Tri-x 35mm BW (per exposure)"	item	0.2225	24	
92287	Sep04 G	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	2	
92287	Sep04 G	"Office Supply, Grocery"	SK065	photographic stop bath	oz	0.02	16	
92310	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92310	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92310	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92311	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92311	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92311	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92312	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92312	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92312	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92313	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92313	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92313	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92313	CMS	"Pharmacy, NonRx"	SJ080	"lens cleaner, daily (Allergan)"	ounce	0.47	1	0
92314	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92314	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92314	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92315	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92315	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92315	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92316	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92316	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92316	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92317	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	0
92317	CMS	"Kit, Pack, Tray"	SA089	"kit, boston original system"	kit	4.5	1	0
92317	CMS	"Pharmacy, NonRx"	SJ073	DMV remover	item	2.24	1	0
92325	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
92325	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	8.2775	1	
92325	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.2037	1	
92325	CMS	"Pharmacy, NonRx"	SJ067	contact lens (RGP) polishing soln (Silo2 Care)	ml	0.0978	15	
92326	CMS	"Kit, Pack, Tray"	SA050	"pack, ophthalmology visit (no dilation)"	pack	1.5688	1	
92326	CMS	"Pharmacy, NonRx"	SJ065	contact lens (hard) care kit	item	8.2775	1	
92326	CMS	"Pharmacy, NonRx"	SJ066	contact lens (hard) extra strength cleaning solution	ml	0.2037	1	
92340	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0
92341	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0
92342	Sep04 G	"Pharmacy, NonRx"	SJ074	lens cleaner	ounce	0.69	1	0
92352		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
92352		"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0
92352		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
92352		"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0
92352		"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	0.391	0.1	0
92352		"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	0.1	0
92352		"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.6995	0.1	0
92352		"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0
92352		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92352		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92352		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0
92352		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	0
92353		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
92353		"Gown, Drape"	SB035	"paper, chinrest"	item	0.008	1	0
92353		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
92353		"Pharmacy, Rx"	SH034	fluorescein strips	item	0.282	1	0
92353		"Pharmacy, Rx"	SH056	phenylephrine 2.5% ophth (Mydfrin)	ml	0.391	0.1	0
92353		"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	0.1	0
92353		"Pharmacy, Rx"	SH073	tropicamide 1% ophth (Mydriacyl)	ml	0.6995	0.1	0
92353		"Pharmacy, NonRx"	SJ015	contact lens soln (12oz uou)	item	4.19	1	0
92353		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	0
92353		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92353		"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0
92353		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	0
92370	Sep04 G	"Pharmacy, NonRx"	SJ076	nose pads	item	0.79	1	0
92370	Sep04 G	"Pharmacy, NonRx"	SJ077	"screws, spectacles"	item	0.14	1	0
92370	Sep04 G	"Pharmacy, NonRx"	SJ078	temple tips	pair	1	1	0
92504	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
92504	CPT11	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
92504	CPT11	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
92504	CPT11	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
92504	CPT11	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
92504	CPT11	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	2	0
92504	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	0
92504	CPT11	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	0
92504	CPT11	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92504	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92507	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92507	CPT11 80	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
92507	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	
92507	CPT11 80	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	
92507	CPT11 80	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	2	
92507	CPT11 80	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92507	CPT11 80	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	
92508	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92508	CPT11 80	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
92508	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	
92508	CPT11 80	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	
92508	CPT11 80	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	2	
92508	CPT11 80	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92508	CPT11 80	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	
92511	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
92511	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
92511	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
92511	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	2	0
92511	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
92511	RUC	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
92511	RUC	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	2	0
92511	RUC	"Wound Care, Dressings"	SG031	cottonoid	item	0.7798	3	0
92511	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
92511	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92511	RUC	"Pharmacy, NonRx"	SJ012	Cetacaine spray (56gm size bottle)	gm	0.9867	1	0
92511	RUC	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
92511	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92511	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	1	0
92511	RUC	Infection Control	SM001	atomizer tip shield (RhinoGuard)	item	0.675	1	0
92511	RUC	Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	2	0
92511	RUC	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
92511	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	4	0
92511	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	4	0
92511	RUC	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
92512	Mar04 K	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	2	0
92512	Mar04 K	"Accessory, Procedure"	SD183	"nasal tip, olive"	item	0.7075	1	0
92512	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	0
92516	Mar04 K	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.01	2	0
92516	Mar04 K	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	1	0
92516	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	1	0
92516	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	0
92516	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	4	0
92516	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	0
92516	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	0.5	0
92516	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	0
92520	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92520	RUC05	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	0
92520	RUC05	"Accessory, Procedure"	SD130	"tubing, latex"	foot	0.5747	1	0
92520	RUC05	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
92520	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92520	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	8	0
92520	RUC05	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	30	0
92521	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92521	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92521	CPT15 FTD Migration	"Office Supply, Grocery"	SK116	"fluency assessment form, average"	item	1.2175	2	
92522		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92522		"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92522		"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
92522		"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
92522		"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
92522		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92522		"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.295	2	
92523	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92523	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK117	"speech assessment form, average"	item	1.295	2	
92523	CPT15 FTD Migration	"Office Supply, Grocery"	SK118	"language assessment form, average"	item	2.0375	2	
92524	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92524	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92524	CPT15 FTD Migration	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
92524	CPT15 FTD Migration	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
92526	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92526	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	3	
92526	CPT11	"Pharmacy, NonRx"	SJ051	"swab, lemon-glycerine (3 pak uou)"	item	0.1467	3	
92526	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92526	CPT11	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.425	3	
92526	CPT11	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	
92526	CPT11	"Office Supply, Grocery"	SK004	apple sauce	oz	0.059	1	
92526	CPT11	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	2	
92526	CPT11	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	2	
92526	CPT11	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	3	
92526	CPT11	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	1	
92526	CPT11	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	
92537	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92537	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	
92537	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92537	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92537	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
92537	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	1	
92537	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92538	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92538	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	1	
92538	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92538	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92538	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
92538	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	1	
92538	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92540	CPT10 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92540	CPT10 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
92540	CPT10 36	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	
92540	CPT10 36	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
92540	CPT10 36	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	
92540	CPT10 36	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92540	CPT10 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
92540	CPT10 36	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92540	CPT10 36	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	1	
92540	CPT10 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92540	CPT10 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	12	
92540	CPT10 36	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92541	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92541	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92541	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92541	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
92541	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92542	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92542	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92542	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
92542	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92544	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92544	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92544	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92544	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
92544	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92545	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92545	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92545	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92545	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
92545	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92546	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92546	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
92546	CMS	"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	
92546	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92546	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
92546	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
92546	CMS	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	1	
92546	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92546	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
92546	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92547	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	2	
92547	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
92547	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	2	
92547	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	
92547	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	1	
92547	Mar04 K	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
92547	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
92548	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
92550	CPT10	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.0673	1	
92550	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92550	CPT10	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92550	CPT10	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92551	Feb05 C	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92551	Feb05 C	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92552	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92552	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92552	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92553	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92553	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92553	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92555	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92555	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92555	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92556	Jan02	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92556	Jan02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92556	Jan02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92557	5yr08	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	0
92557	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92557	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
92558	CMS	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	0
92558	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92558	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	0
92561	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92561	Sep02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
92561	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92562	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92562	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92563	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92563	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92564	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
92564	Sep02	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92565	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92567	5yr08	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.0673	2	0
92567	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92567	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	0
92567	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
92568	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	0
92570	CPT10	"Accessory, Procedure"	SD046	"ear tip, tympanometry probe"	item	1.0673	1	0
92570	CPT10	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
92570	CPT10	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	0
92570	CPT10	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
92571	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92572	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92575	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92575	Mar04 K	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.0775	2	
92576	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92577	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92579	5yr08	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.4775	2	0
92579	5yr08	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	0
92579	5yr08	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
92582	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.4775	2	
92582	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92582	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92583	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.4775	2	
92583	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92583	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92584	Mar04 K	"Accessory, Procedure"	SD047	eartip insert with sound tube	item	0.3997	2	
92584	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	3	
92584	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
92584	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
92584	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	
92584	Mar04 K	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	2	
92584	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	1.5	
92584	Mar04 K	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
92584	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92585	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.4775	2	
92585	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	4	
92585	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
92585	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
92585	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	
92585	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	2	
92585	Mar04 K	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
92585	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92585	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92586	Mar04 K	"Accessory, Procedure"	SD044	"ear tip, earphone"	item	0.4775	2	
92586	Mar04 K	"Accessory, Procedure"	SD062	"electrode, surface"	item	1.0573	3	
92586	Mar04 K	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
92586	Mar04 K	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	5	
92586	Mar04 K	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	
92586	Mar04 K	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	2	
92586	Mar04 K	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
92586	Mar04 K	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92586	Mar04 K	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92587	CPT12 May 43	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	
92587	CPT12 May 43	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92587	CPT12 May 43	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92587	CPT12 May 43	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92588	CPT12 May 43	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	
92588	CPT12 May 43	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92588	CPT12 May 43	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
92588	CPT12 May 43	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
92596	Mar04 K	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	
92597	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
92597	CPT11	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
92597	CPT11	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
92597	CPT11	"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	1	
92597	CPT11	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	
92597	CPT11	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
92597	CPT11	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
92601	5yr08	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0
92601	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	0
92601	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92601	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	0
92601	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92601	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
92601	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.051	105	0
92602	5yr08	"Kit, Pack, Tray"	SA032	"kit, tangible reinforcement-reward for children"	kit	1.5	1	0
92602	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	0
92602	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92602	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	0
92602	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92602	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
92602	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.051	105	0
92603	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	0
92603	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92603	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	0
92603	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92603	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
92603	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.051	105	0
92604	5yr08	"Accessory, Procedure"	SD045	"ear tip, immittance"	item	0.1837	1	0
92604	5yr08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92604	5yr08	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	0
92604	5yr08	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
92604	5yr08	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
92604	5yr08	"Office Supply, Grocery"	SK079	"tape, toupee"	inch	0.051	105	0
92605	CPT12 May 44	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92605	CPT12 May 44	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92605	CPT12 May 44	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
92605	CPT12 May 44	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.6445	1	0
92605	CPT12 May 44	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.0462	10	0
92605	CPT12 May 44	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	3	0
92606	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92606	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	0
92606	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
92606	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.6445	1	0
92606	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.0462	10	0
92606	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	0
92606	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.9	1	0
92606	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	3	0
92607	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92607	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	
92607	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92607	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.6445	1	
92607	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.0462	10	
92607	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
92607	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.9	1	
92607	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	3	
92608	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.33	
92608	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3.3	
92608	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	0.33	
92608	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.6445	0.33	
92608	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.0462	3.3	
92608	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.4193	0.33	
92608	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.9	0.33	
92608	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	1	
92609	CPT11 80	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92609	CPT11 80	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	10	
92609	CPT11 80	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92609	CPT11 80	"Office Supply, Grocery"	SK044	lamination sheet (letter size)	item	0.6445	1	
92609	CPT11 80	"Office Supply, Grocery"	SK055	"paper, card stock (8.5 x 11)"	item	0.0462	10	
92609	CPT11 80	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
92609	CPT11 80	"Office Supply, Grocery"	SK070	"Rep-band, light (6yd uou)"	item	5.9	1	
92609	CPT11 80	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	3	
92610	CPT10 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
92610	CPT10 55	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
92610	CPT10 55	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	0
92610	CPT10 55	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.1852	8	0
92610	CPT10 55	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92610	CPT10 55	"Pharmacy, NonRx"	SJ044	pre-thickened juice (4oz uou)	item	1.0507	2	0
92610	CPT10 55	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.425	3	0
92610	CPT10 55	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	2	0
92610	CPT10 55	"Office Supply, Grocery"	SK017	cookie (each)	item	0.0725	1	0
92610	CPT10 55	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0
92610	CPT10 55	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	2	0
92611	CPT10 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
92611	CPT10 55	"Pharmacy, Rx"	SH017	"barium, honey (Varibar)"	ml	0.1852	8	
92611	CPT10 55	"Pharmacy, Rx"	SH018	"barium, nectar (Varibar)"	ml	0.0283	240	
92611	CPT10 55	"Pharmacy, Rx"	SH019	"barium, pudding (Varibar)"	ml	0.2203	8	
92611	CPT10 55	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
92611	CPT10 55	"Office Supply, Grocery"	SK017	cookie (each)	item	0.0725	1	
92611	CPT10 55	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	1	
92611	CPT10 55	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	
92612	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92612	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
92612	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
92612	CMS	"Accessory, Procedure"	SD070	endosheath	item	16.7575	1	0
92612	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
92612	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
92612	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
92612	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
92612	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	3	0
92612	CMS	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
92612	CMS	"Pharmacy, Rx"	SH048	"lidocaine 2% jelly, topical  (Xylocaine)"	ml	0.7452	5	0
92612	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92612	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
92612	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.425	3	0
92612	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
92612	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.059	3	0
92612	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0
92612	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	3	0
92612	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.1525	3	0
92612	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	0
92612	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	21	0
92612	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	0
92612	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
92614	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92614	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
92614	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
92614	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
92614	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
92614	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
92614	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	3	0
92614	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92614	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
92614	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
92614	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.1525	3	0
92614	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
92616	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
92616	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
92616	CMS	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
92616	CMS	"Accessory, Procedure"	SD132	"tubing, suction, non-latex (6ft uou)"	item	1.5037	1	0
92616	CMS	"Accessory, Procedure"	SD133	"tubing, suction, non-latex (6ft) with Poole tip (1)"	item	3.3142	1	0
92616	CMS	"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
92616	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	3	0
92616	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
92616	CMS	"Pharmacy, NonRx"	SJ037	oxymetazoline nasal spray (Afrin) (15ml uou)	item	1.7875	1	0
92616	CMS	"Pharmacy, NonRx"	SJ058	thick-it pack	item	0.425	3	0
92616	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
92616	CMS	"Office Supply, Grocery"	SK004	apple sauce	oz	0.059	3	0
92616	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	6	0
92616	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	3	0
92616	CMS	"Office Supply, Grocery"	SK032	"film, type 667 Polaroid (per exposure)"	item	1.1525	3	0
92616	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	0
92616	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	21	0
92616	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	2	0
92616	CMS	Infection Control	SM014	endoscope anti-fog solution	ml	0.9902	1	0
92620	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	4	0
92621	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	2	0
92625	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	3	0
92626	CPT09 5y	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	1	0
92626	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	4	0
92627	CPT09 5y	"Kit, Pack, Tray"	SA033	"kit, therapeutic toys-games"	kit	0.2	1	0
92627	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	4	0
92640	CPT09 5y	"Office Supply, Grocery"	SK008	audiology scoring forms	item	0.096	1	0
92640	CPT09 5y	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.1	0
92640	CPT09 5y	"Office Supply, Grocery"	SK068	razor	item	0.4193	0.25	0
92950	CPT12 5 Year	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
92950	CPT12 5 Year	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
92950	CPT12 5 Year	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
92950	CPT12 5 Year	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	3	0
92950	CPT12 5 Year	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	0
92950	CPT12 5 Year	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	375	0
92950	CPT12 5 Year	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	0
92950	CPT12 5 Year	"Accessory, Procedure"	SD182	"mask, CPR (RespAide)"	item	24.2925	1	0
92950	CPT12 5 Year	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
92950	CPT12 5 Year	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	8	0
92950	CPT12 5 Year	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	10	0
92950	CPT12 5 Year	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.33	0
92950	CPT12 5 Year	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
92960	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
92960	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	0
92960	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	0
92977		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
92977		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
92977		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
92977		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
92977		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
92977		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
92977		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
92977		"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
92977		"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
92977		"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
92977		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
92977		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
92977		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
92986	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
92987	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
92990	Sep02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
92X71	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92X71	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	5	
92X71	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	2	
92X71	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	0.2	
92X71	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	0.1014	
92X71	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
92X71	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
92X71	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	
92X71	RUC	"Office Supply, Grocery"	SK133	Sleep mask	item	9.95	1	
92X71	RUC	Lab	SL020	bleach	ml	0.0033	2	
92X73	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
92X73	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
92X73	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	5	
92X73	RUC	"Pharmacy, Rx"	SH037	Goniosol 2.5% ophth	ml	0.595	2	
92X73	RUC	"Pharmacy, Rx"	SH058	"proparacaine 0.5% ophth (Ophthaine, Alcaine)"	ml	0.6145	0.2	
92X73	RUC	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	0.1014	
92X73	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	1	
92X73	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
92X73	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	
92X73	RUC	Lab	SL020	bleach	ml	0.0033	2	
93000	CPT14 Nov 4	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
93000	CPT14 Nov 4	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
93000	CPT14 Nov 4	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93005	CPT14 Nov 4	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
93005	CPT14 Nov 4	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
93005	CPT14 Nov 4	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93015	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93015	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
93015	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93015	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	15	
93015	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.501	1	
93017	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
93017	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
93017	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93017	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	15	
93017	CMS	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.501	1	
93024		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
93024		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93024		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
93024		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
93024		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
93024		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
93024		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
93024		"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
93024		"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
93024		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
93024		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
93024		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
93025	Oct08 18	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
93025	Oct08 18	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
93025	Oct08 18	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
93025	Oct08 18	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	7	
93025	Oct08 18	"Accessory, Procedure"	SD115	"sensor, microvolt (Micro-V)"	item	10.2	7	
93025	Oct08 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
93025	Oct08 18	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	1	
93025	Oct08 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	10	
93025	Oct08 18	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
93025	Oct08 18	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	1	
93040	Jan02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93040	Jan02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
93040	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93041	Jan02	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93041	Jan02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
93041	Jan02	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93050	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	2	
93050	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93224	CPT11	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.5118	1	
93224	CPT11	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	20	
93225	CPT11	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.5118	1	
93226	CPT11	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93227	Mar04 L	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	0
93229	CPT11	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	42	
93229	CPT11	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93229	CPT11	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	14	
93260	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93260	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
93260	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	4	
93260	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93260	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93261	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93261	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	
93261	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	4	
93261	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93261	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93268	CPT11	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
93268	CPT11	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	60	
93268	CPT11	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	12	
93268	CPT11	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93268	CPT11	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
93271	PFS07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
93271	PFS07	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	60	
93271	PFS07	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	12	
93271	PFS07	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93271	PFS07	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	6	
93278	Mar04 L	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
93278	Mar04 L	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93278	Mar04 L	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.501	1	
93279	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93279	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93279	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93279	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93279	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93280	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93280	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93280	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93280	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93280	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93281	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93281	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93281	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93281	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93281	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93282	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93282	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93282	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93282	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93282	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93283	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93283	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93283	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93283	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93283	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	20	
93284	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93284	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93284	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93284	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93284	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	20	
93285	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93285	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93285	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93285	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93285	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	20	
93286	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93286	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
93286	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93286	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93286	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93286	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93287	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93287	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
93287	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93287	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93287	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93287	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93288	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93288	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93288	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93288	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93288	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93289	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93289	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93289	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93289	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93289	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93290	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93290	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93290	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93290	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93290	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93291	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93291	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93291	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93291	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93291	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	15	
93292	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93292	RUC	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93292	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93292	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93293	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93296	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	10	
93303	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93303	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93303	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	180	
93303	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93303	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.034	
93303	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93304	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93304	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93304	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93304	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	180	
93304	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93304	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.034	
93304	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93306	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93306	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93306	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93306	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	25	
93306	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93307	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93307	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93307	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93307	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	25	
93307	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93308	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93308	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93308	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93308	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	25	
93308	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93312	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93312	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
93312	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	
93312	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
93312	CMS	"Hypodermic, IV"	SC003	arm board	item	0.6885	1	
93312	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.5513	1	
93312	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.1475	1	
93312	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
93312	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
93312	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	
93312	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	
93312	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	
93312	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
93312	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	
93312	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
93312	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
93312	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
93312	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	20	
93312	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
93312	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93312	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.2	
93314	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93314	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
93314	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	
93314	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
93314	CMS	"Hypodermic, IV"	SC003	arm board	item	0.6885	1	
93314	CMS	"Hypodermic, IV"	SC014	Interlink adaptor	item	1.5513	1	
93314	CMS	"Hypodermic, IV"	SC015	Interlink vial access	item	2.1475	1	
93314	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	
93314	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
93314	CMS	"Accessory, Procedure"	SD006	bite block	item	1.775	1	
93314	CMS	"Accessory, Procedure"	SD127	"tube, suction NG (Salem sump)"	item	3.196	1	
93314	CMS	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	
93314	CMS	"Pharmacy, Rx"	SH040	heparin lock flush soln	item	1.3075	1	
93314	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	
93314	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
93314	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
93314	CMS	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
93314	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	20	
93314	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
93314	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93314	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.2	
93350	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93350	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93350	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93350	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	20	
93350	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93350	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	
93350	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93351	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93351	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93351	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	13	
93351	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
93351	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93351	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	20	
93351	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	15	
93351	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93351	RUC	"Office Supply, Grocery"	SK072	sandpaper (per sheet)	item	0.501	1	
93351	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	
93351	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
93352	CPT09 27	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
93352	CPT09 27	"Hypodermic, IV"	SC015	Interlink vial access	item	2.1475	1	
93352	CPT09 27	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
93352	CPT09 27	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
93352	CPT09 27	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	
93352	CPT09 27	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
93352	CPT09 27	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
93352	CPT09 27	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
93352	CPT09 27	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	1	
93352	CPT09 27	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
93352	CPT09 27	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	1	
93352	CPT09 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93352	CPT09 27	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	
93451	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93451	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93451	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93451	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93451	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93451	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93451	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93451	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93451	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93451	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93451	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93451	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93451	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93451	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93451	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93451	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93451	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93451	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93451	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93451	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93451	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93451	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93451	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93451	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93451	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93451	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93451	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93451	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93451	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93451	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93451	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93451	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93451	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93451	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93451	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93451	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93451	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93451	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93451	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93451	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93451	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93451	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93451	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93451	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93451	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93451	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93451	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93451	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93451	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93451	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93451	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93451	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93452	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93452	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93452	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93452	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93452	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93452	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93452	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93452	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93452	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93452	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93452	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93452	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93452	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93452	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	
93452	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93452	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93452	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93452	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93452	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93452	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93452	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93452	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93452	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93452	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93452	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93452	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93452	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93452	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93452	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93452	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93452	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93452	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93452	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93452	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93452	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93452	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93452	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93452	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93452	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93452	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93452	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93452	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93452	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93452	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93452	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93452	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93452	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93452	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93452	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93452	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93452	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93452	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93453	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93453	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93453	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93453	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93453	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93453	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93453	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93453	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93453	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93453	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93453	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93453	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93453	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93453	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	
93453	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93453	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93453	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93453	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93453	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93453	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93453	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93453	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93453	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93453	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93453	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93453	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	
93453	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93453	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93453	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93453	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93453	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93453	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93453	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93453	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93453	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93453	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93453	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93453	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93453	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93453	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93453	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93453	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93453	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93453	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93453	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93453	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93453	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93453	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93453	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93453	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93453	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93453	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93453	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93454	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93454	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93454	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93454	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93454	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93454	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93454	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93454	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93454	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93454	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93454	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93454	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93454	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93454	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	2.3	
93454	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93454	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93454	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93454	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93454	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93454	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93454	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93454	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93454	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93454	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93454	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93454	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93454	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93454	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93454	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93454	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93454	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93454	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93454	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93454	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93454	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93454	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93454	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93454	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93454	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93454	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93454	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93454	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93454	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93454	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93454	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93454	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93454	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93454	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93454	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93454	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93454	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93454	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93455	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93455	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93455	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93455	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93455	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93455	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93455	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93455	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93455	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93455	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93455	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93455	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93455	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93455	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	4.3	
93455	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93455	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93455	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93455	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93455	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93455	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93455	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93455	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93455	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93455	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93455	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93455	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93455	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93455	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93455	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93455	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93455	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93455	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93455	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93455	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93455	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93455	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93455	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93455	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93455	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93455	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93455	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93455	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93455	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93455	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93455	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93455	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93455	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93455	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93455	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93455	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93455	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93455	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93456	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93456	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93456	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93456	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93456	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93456	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93456	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93456	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93456	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93456	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93456	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93456	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93456	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93456	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	2.3	
93456	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93456	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93456	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93456	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93456	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93456	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93456	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93456	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93456	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93456	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93456	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93456	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	
93456	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93456	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93456	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93456	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93456	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93456	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93456	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93456	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93456	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93456	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93456	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93456	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93456	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93456	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93456	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93456	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93456	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93456	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93456	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93456	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93456	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93456	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93456	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93456	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93456	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93456	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93456	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93457	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93457	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93457	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93457	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93457	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93457	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93457	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93457	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93457	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93457	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93457	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93457	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93457	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93457	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	4.3	
93457	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93457	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93457	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93457	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93457	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93457	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93457	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93457	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93457	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93457	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93457	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93457	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	
93457	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93457	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93457	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93457	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93457	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93457	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93457	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93457	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93457	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93457	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93457	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93457	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93457	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93457	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93457	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93457	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93457	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93457	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93457	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93457	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93457	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93457	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93457	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93457	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93457	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93457	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93457	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93458	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93458	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93458	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93458	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93458	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93458	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93458	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93458	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93458	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93458	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93458	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93458	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93458	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93458	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	3.3	
93458	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93458	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93458	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93458	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93458	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93458	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93458	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93458	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93458	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93458	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93458	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93458	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93458	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93458	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93458	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93458	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93458	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93458	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93458	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93458	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93458	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93458	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93458	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93458	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93458	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93458	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93458	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93458	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93458	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93458	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93458	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93458	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93458	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93458	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93458	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93458	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93458	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93458	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93459	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93459	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93459	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93459	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93459	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93459	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93459	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93459	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93459	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93459	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93459	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93459	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93459	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93459	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	5.3	
93459	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93459	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93459	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93459	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93459	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93459	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93459	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93459	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93459	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93459	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93459	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93459	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93459	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93459	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93459	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93459	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93459	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93459	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93459	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93459	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93459	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93459	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93459	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93459	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93459	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93459	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93459	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93459	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93459	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93459	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93459	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93459	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93459	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93459	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93459	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93459	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93459	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93459	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93460	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93460	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93460	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93460	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93460	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93460	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93460	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93460	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93460	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93460	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93460	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93460	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93460	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93460	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	3.3	
93460	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93460	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93460	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93460	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93460	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93460	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93460	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93460	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93460	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93460	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93460	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93460	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	
93460	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93460	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93460	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93460	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93460	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93460	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93460	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93460	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93460	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93460	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93460	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93460	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93460	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93460	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93460	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93460	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93460	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93460	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93460	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93460	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93460	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93460	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93460	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93460	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93460	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93460	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93460	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93461	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	
93461	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93461	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	
93461	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	
93461	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	2	
93461	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	
93461	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	
93461	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	2	
93461	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	
93461	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	
93461	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93461	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	
93461	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93461	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	5.3	
93461	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	
93461	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93461	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93461	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93461	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93461	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
93461	Mod sed	"Hypodermic, IV"	SC060	"syringe, pressure (radiology)"	item	9.0117	1	
93461	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93461	Mod sed	"Hypodermic, IV"	SC082	"syringe 12ml, coronary control"	item	7.4475	1	
93461	Mod sed	"Accessory, Procedure"	SD090	"guidewire, STIFF"	item	29.2475	1	
93461	Mod sed	"Accessory, Procedure"	SD131	"tubing, pressure"	item	3.29	1	
93461	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	2	
93461	Mod sed	"Accessory, Procedure"	SD140	"bag system, 1000ml (for angiography waste fluids)"	item	19.275	2	
93461	Mod sed	"Accessory, Procedure"	SD156	"catheter, Swan Ganz"	item	74.1125	1	
93461	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93461	Mod sed	"Accessory, Procedure"	SD180	manifold (for angiography)	item	10.1215	1	
93461	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	2	
93461	Mod sed	"Accessory, Procedure"	SD210	"transducer, pressure monitoring (for angiography)"	item	8.27	1	
93461	Mod sed	"Accessory, Procedure"	SD211	"tubing, pressure injection line (angiography)"	item	2.9425	1	
93461	Mod sed	"Accessory, Procedure"	SD212	"tubing, sterile, connecting (fluid administration)"	item	1.745	1	
93461	Mod sed	"Accessory, Procedure"	SD213	"tubing, sterile, non-vented (fluid administration)"	item	1.1167	1	
93461	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93461	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	2	
93461	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
93461	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93461	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
93461	Mod sed	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93461	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
93461	Mod sed	"Pharmacy, Rx"	SH026	Conray Inj (iothalamate 43%)	ml	0.1328	60	
93461	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	
93461	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93461	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	
93461	Mod sed	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	
93461	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	
93461	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93461	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93461	Mod sed	Lab	SL156	"cup, sterile, 12-16 oz"	item	0.7575	1	
93461	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93461	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	1	
93505	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93505	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	3	
93505	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	
93505	Mod sed	"Gown, Drape"	SB020	"drape-towel, sterile OR blue (2 pk uou)"	item	1.4503	4	
93505	Mod sed	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
93505	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	
93505	Mod sed	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	
93505	Mod sed	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93505	Mod sed	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	
93505	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93505	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	4	
93505	Mod sed	"Hypodermic, IV"	SC076	"needle, arterial, percutaneous"	item	6.885	1	
93505	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	
93505	Mod sed	"Accessory, Procedure"	SD169	"forceps, Kelly"	item	2.1288	1	
93505	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	1	
93505	Mod sed	"Accessory, Procedure"	SD208	"towel clamp, plastic"	item	0.607	4	
93505	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	
93505	Mod sed	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
93505	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	30	
93505	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
93505	Mod sed	"Pharmacy, NonRx"	SJ079	"basin, sterile 500cc"	item	3.1275	1	
93505	Mod sed	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
93505	Mod sed	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
93505	Mod sed	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	1	
93505	Mod sed	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	10	
93505	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93505	Mod sed	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	
93505	Mod sed	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	2	
93566	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
93566	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
93567	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
93567	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
93568	Mod sed	"Hypodermic, IV"	SC098	"catheter, angiographic, Berman"	item		1	0
93568	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
93642	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93642	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	
93642	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93644	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93644	CMS	"Accessory, Procedure"	SD106	"pad, cardioversion R2 (2 pack)"	item	29.9525	1	
93644	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93660	CMS	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	
93660	CMS	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
93660	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
93660	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
93660	CMS	"Hypodermic, IV"	SC064	syringe-needle 3ml 22-26g	item	0.1325	1	
93660	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	12	
93668	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
93668	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
93701		"Accessory, Procedure"	SD116	"sensors, bioimpendance (4 pack uou)"	item	11.375	1	
93701		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
93702	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
93702	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
93702	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	
93702	RUC	"Accessory, Procedure"	SD290	"electrode, BIS (bioimpedance spectroscopy)"		29.6525	3	
93702	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
93702	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
93702	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
93702	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
93724	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93724	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	5	
93724	CMS	"Pharmacy, NonRx"	SJ019	electrode adhesive disk	item	0.1125	5	
93724	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93724	CMS	"Office Supply, Grocery"	SK060	"paper, recording, roll (per foot)"	foot	0.1003	4	
93784	CPT11	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	3	
93786	CMS 06	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	3	
93792	RUC	"Hypodermic, IV"	SC021	lancet	item	0.081	6	
93792	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	
93792	RUC	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	5.1825	6	
93792	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93798	Jan04 20	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	0
93798	Jan04 20	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	0
93798	Jan04 20	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	0
93880	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93880	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93880	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93880	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93880	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93880	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93882	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93882	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93882	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	25	
93882	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93882	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93882	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93886	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93886	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93886	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93886	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93886	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93886	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93886	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93888	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93888	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93888	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93888	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93888	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93888	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93888	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93890	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93890	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93890	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
93890	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
93890	CMS	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.1025	55	
93890	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	8	
93890	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93890	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93890	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93890	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	
93892	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93892	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93892	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93892	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93892	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93892	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	
93893	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93893	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93893	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
93893	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
93893	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	6	
93893	CMS	"Accessory, Procedure"	SD124	"tourniquet, non-latex 1in x 18in"	item	0.1945	1	
93893	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
93893	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	6	
93893	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
93893	CMS	"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	30	
93893	CMS	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	1	
93893	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
93893	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93893	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93893	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	1	
93922	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93922	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	20	
93922	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
93922	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93922	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93923	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93923	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
93923	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93923	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93923	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93924	CPT11 41	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93924	CPT11 41	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93924	CPT11 41	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
93924	CPT11 41	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93924	CPT11 41	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93925	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93925	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93925	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93925	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93925	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93925	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93926	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93926	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93926	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93926	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93926	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93926	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93930	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93930	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93930	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	50	
93930	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93930	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93930	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93931	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93931	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93931	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
93931	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93931	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93931	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93970	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93970	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93970	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93970	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93970	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93970	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93970	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93971	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93971	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93971	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93971	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93971	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93971	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93971	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93975	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93975	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93975	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93975	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93975	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93975	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93976	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93976	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93976	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93976	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93976	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93976	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93978	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93978	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93978	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93978	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93978	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93978	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93979	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93979	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93979	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	40	
93979	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93979	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93979	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
93980	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93980	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
93980	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
93980	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
93980	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93980	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
93980	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93980	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93980	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
93981	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
93981	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
93981	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
93981	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
93981	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
93981	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
93981	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
93981	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	60	
93981	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
93990	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
93990	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
93990	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
93990	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
93990	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
93990	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
94010	Apr99	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94010	Apr99	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94010	Apr99	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94010	Apr99	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94014	Feb05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94014	Feb05	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94014	Feb05	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94014	Feb05	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94014	Feb05	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94015	Feb05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94015	Feb05	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94015	Feb05	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94015	Feb05	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94015	Feb05	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94060	Feb01	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94060	Feb01	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94060	Feb01	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94060	Feb01	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
94060	Feb01	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94060	Feb01	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
94070	Mar04 G	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94070	Mar04 G	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94150		"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94150		"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94150		"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94150		"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94200	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94200	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94200	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94200	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94200	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94250	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94250	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
94250	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94250	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94250	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94375	Sep02	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94375	Sep02	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94375	Sep02	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94375	Sep02	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94375	Sep02	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94375	Sep02	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94400	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94400	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94400	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94400	CMS	"Accessory, Procedure"	SD170	"gas, 5% CO2 - balance air"	liter	0.1025	1	
94400	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
94400	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94450	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94450	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94450	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	1	
94450	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94450	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
94450	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	3	
94450	CMS	Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	
94452	CPT05	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	225	
94452	CPT05	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	
94452	CPT05	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9472	1	
94453	CPT05	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	150	
94453	CPT05	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	375	
94453	CPT05	"Accessory, Procedure"	SD100	nasal cannula	item	0.964	1	
94453	CPT05	"Accessory, Procedure"	SD105	oxygen mask (1) and tubing (7ft)	item	0.9472	1	
94617	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
94617	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94617	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94617	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
94617	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94617	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
94618	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
94621	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
94621	RUC	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94621	RUC	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	150	
94621	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94621	RUC	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94621	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
94621	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
94621	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	40	
94621	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
94621	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
94621	RUC	Lab	SL048	desiccant-absorber	item	0.156	1	
94640	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94640	Sep02	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
94640	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94644	CPT07	"Kit, Pack, Tray"	SA098	"kit, nebulizer, w-tubing and aerosole mask (Hope)"	kit	24.1725	1	
94644	CPT07	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
94644	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94644	CPT07	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19	
94644	CPT07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94644	CPT07	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	
94645	CPT07	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94645	CPT07	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	19	
94645	CPT07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94645	CPT07	Lab	SL107	phosphate buffered saline solution	ml	0.0333	2	
94660	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
94660	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
94664	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94664	Sep02	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
94664	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94664	Sep02	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	
94668	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
94669	CPT14 May 25	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
94680	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94680	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
94680	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	150	
94680	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94680	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
94680	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
94680	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94681	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94681	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
94681	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	150	
94681	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94681	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
94681	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
94681	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94690	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
94690	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
94690	CMS	"Accessory, Procedure"	SD085	"gas, test mixture"	liter	0.064	150	
94690	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94690	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	5	
94690	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
94690	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
94690	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94726	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94726	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94726	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	50	
94726	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94726	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94726	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94726	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94727	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94727	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94727	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	50	
94727	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94727	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94727	CMS	"Pharmacy, Rx"	SH042	inhalant	gm	0.8335	0.25	
94727	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94727	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94728	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94728	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94728	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94728	CMS	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
94728	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94728	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94728	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94729	CPT12 May 29	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
94729	CPT12 May 29	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94729	CPT12 May 29	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94729	CPT12 May 29	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94729	CPT12 May 29	"Pharmacy, Rx"	SH042	inhalant	gm	0.8335	25	
94729	CPT12 May 29	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94729	CPT12 May 29	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94750	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
94750	CMS	"Accessory, Procedure"	SD016	"catheter, balloon, esophageal (pressure monitoring)"	item	36.48	1	
94750	CMS	"Accessory, Procedure"	SD075	"filter, pulmonary function filter"	item	1.5325	1	
94750	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	150	
94750	CMS	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
94750	CMS	"Accessory, Procedure"	SD102	noseclips	item	0.656	1	
94750	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
94750	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
94760	CPT10 58	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	
94760	CPT10 58	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94761	CPT10 58	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	
94761	CPT10 58	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94762	CPT13 CMS	"Accessory, Procedure"	SD278	Disposable oximeter cable	item	11.02	1	
94762	CPT13 CMS	"Wound Care, Dressings"	SG006	"adhesive remover, pad (acetone)"	item	0.035	1	
94762	CPT13 CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
94762	CPT13 CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
94762	CPT13 CMS	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	6	
94780	CPT12 May 30	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	1	0
94780	CPT12 May 30	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	0
95004	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	0.02	
95004	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	0.04	
95004	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	0.1	
95004	RUC	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	5.7825	0.005	
95004	RUC	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	25.25	0.005	
95004	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	0.48	
95004	RUC	"Pharmacy, NonRx"	SJ092	"allergen, diagnostic, multi (eg, pollen, mold, environmental)"	ml	8.44	0.25	
95004	RUC	"Pharmacy, NonRx"	SJ093	allergy single-test device	ml	0.19	1	
95004	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.02	
95012	CPT07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95012	CPT07	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
95012	CPT07	Infection Control	SM028	"filter, mouthpiece (NIOX)"	item	4.7875	1	
95017	CPT13 May 33	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.222	0
95017	CPT13 May 33	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	0.037	0
95017	CPT13 May 33	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.259	0
95017	CPT13 May 33	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1.222	0
95017	CPT13 May 33	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	0.926	0
95017	CPT13 May 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	0.296	0
95017	CPT13 May 33	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.75	0.259	0
95017	CPT13 May 33	"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	1.296	0
95017	CPT13 May 33	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	0.074	0
95017	CPT13 May 33	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	5.7825	0.002	0
95017	CPT13 May 33	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	25.25	0.002	0
95017	CPT13 May 33	"Pharmacy, Rx"	SH104	"kit, antigen, venom (5 insects)"	ml	37.1425	0.037	0
95017	CPT13 May 33	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1.37	0
95017	CPT13 May 33	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	0.741	0
95017	CPT13 May 33	Lab	SL198	"label, vial"	item	0.007	0.741	0
95018	CPT13 May 33	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.333	0
95018	CPT13 May 33	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	0.111	0
95018	CPT13 May 33	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	0.778	0
95018	CPT13 May 33	"Hypodermic, IV"	SC027	"needle, 18-19g, filter"	item	0.33	0.111	0
95018	CPT13 May 33	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	0.556	0
95018	CPT13 May 33	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	0.556	0
95018	CPT13 May 33	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	0.111	0
95018	CPT13 May 33	"Hypodermic, IV"	SC100	bifurcated needle or stylet	item	0.75	0.444	0
95018	CPT13 May 33	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	0.111	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH066	sodium chloride 0.9% inj (10ml uou)	item	0.4377	0.111	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	0.111	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH101	"negative control, allergy test"	ml	5.7825	0.006	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH102	"positive control, allergy test"	ml	25.25	0.006	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH103	"benzylpenicilloyl polylysine (eg, PrePen) 0.25ml uou"	each	86.8325	0.111	0
95018	CPT13 May 33	"Pharmacy, Rx"	SH105	"negative control, allergy intradermal test"	ml	28.915	0.022	0
95018	CPT13 May 33	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
95018	CPT13 May 33	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	0.333	0
95018	CPT13 May 33	Lab	SL198	"label, vial"	item	0.007	0.333	0
95024	CPT12 May 40	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	0.063	0
95024	CPT12 May 40	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.125	0
95024	CPT12 May 40	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
95024	CPT12 May 40	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	3	0
95024	CPT12 May 40	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	0.125	0
95024	CPT12 May 40	"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	1	0
95024	CPT12 May 40	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	1	0
95024	CPT12 May 40	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	0.063	0
95024	CPT12 May 40	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
95024	CPT12 May 40	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	1	0
95024	CPT12 May 40	Lab	SL085	label for microscope slides	item	0.0545	1	0
95027	CPT08 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.022	
95027	CPT08 rv	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	0.022	
95027	CPT08 rv	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	0.17	
95027	CPT08 rv	"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	0.5	
95027	CPT08 rv	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	0.33	
95027	CPT08 rv	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	0.125	
95027	CPT08 rv	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	0.17	
95027	CPT08 rv	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	1	
95027	CPT08 rv	Lab	SL085	label for microscope slides	item	0.0545	1	
95028	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95028	Sep02	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	1	
95044	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.028	
95044	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	0.278	
95044	RUC	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	0.028	
95044	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	0.028	
95044	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	0.028	
95044	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	0.83	
95044	RUC	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.64	0.056	
95044	RUC	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	56.4025	0.028	
95044	RUC	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.1275	0.028	
95044	RUC	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	8.8375	0.028	
95044	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	0.278	
95044	RUC	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.0163	0.033	
95044	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.028	
95044	RUC	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.02	0.028	
95044	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.028	
95044	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	0.000833333	
95044	RUC	Lab	SL001	acetone	ml	0.0255	0.028	
95044	RUC	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83	
95044	RUC	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	0.278	
95052	Jan04 23	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.056	
95052	Jan04 23	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	0.028	
95052	Jan04 23	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	0.278	
95052	Jan04 23	"Wound Care, Dressings"	SG004	adhesive liquid (Mastisol) (0.67ml uou)	item	2.2245	0.028	
95052	Jan04 23	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	0.028	
95052	Jan04 23	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	0.028	
95052	Jan04 23	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	0.83	
95052	Jan04 23	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.64	0.056	
95052	Jan04 23	"Pharmacy, NonRx"	SJ002	"allergen patch test card, T.R.U.E. (24 test card)"	item	56.4025	0.028	
95052	Jan04 23	"Pharmacy, NonRx"	SJ003	"allergen patch test cell, Finn Chambers (10 cell card)"	item	13.1275	0.028	
95052	Jan04 23	"Pharmacy, NonRx"	SJ004	"allergen patch test cell, Finn Chambers (5 cell card)"	item	8.8375	0.028	
95052	Jan04 23	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	0.278	
95052	Jan04 23	"Office Supply, Grocery"	SK019	"diluent, olive oil"	ml	0.0163	0.033	
95052	Jan04 23	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.028	
95052	Jan04 23	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.02	0.028	
95052	Jan04 23	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.028	
95052	Jan04 23	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	0.000833333	
95052	Jan04 23	Lab	SL001	acetone	ml	0.0255	0.028	
95052	Jan04 23	Lab	SL037	"cup, medicine (1oz size)"	item	0.009	0.83	
95052	Jan04 23	Lab	SL109	"pipette, transfer 23ml"	item	0.2935	0.278	
95056	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95056	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
95056	CMS	"Office Supply, Grocery"	SK074	"skin marking pen, fluorescent (Spotlighter)"	item	1.02	1	
95056	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95060	Feb05 ??	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
95060	Feb05 ??	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95060	Feb05 ??	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95060	Feb05 ??	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95060	Feb05 ??	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95060	Feb05 ??	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95060	Feb05 ??	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95060	Feb05 ??	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95060	Feb05 ??	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95060	Feb05 ??	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	1	
95060	Feb05 ??	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95065	Feb05 ??	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
95065	Feb05 ??	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95065	Feb05 ??	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95065	Feb05 ??	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95065	Feb05 ??	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95065	Feb05 ??	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95065	Feb05 ??	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95065	Feb05 ??	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95065	Feb05 ??	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95065	Feb05 ??	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	1	
95065	Feb05 ??	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95070	Mar04 G	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95070	Mar04 G	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
95070	Mar04 G	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
95070	Mar04 G	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32	
95070	Mar04 G	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
95070	Mar04 G	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.3075	1	
95070	Mar04 G	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
95070	Mar04 G	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
95070	Mar04 G	"Pharmacy, Rx"	SH077	albuterol inhal soln (3ml vial)	item	0.477	1	
95070	Mar04 G	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95070	Mar04 G	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	8	
95070	Mar04 G	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
95071	Feb05 S	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95071	Feb05 S	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
95071	Feb05 S	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	32	
95071	Feb05 S	"Accessory, Procedure"	SD101	nebulizer mouthpiece with tubing	item	1.5355	1	
95071	Feb05 S	"Accessory, Procedure"	SD184	nebulizer medication cup	item	0.3075	1	
95071	Feb05 S	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	8	
95071	Feb05 S	"Pharmacy, Rx"	SH006	"antigen, mite"	ml	4.195	1	
95071	Feb05 S	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	
95071	Feb05 S	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95071	Feb05 S	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	8	
95071	Feb05 S	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
95076	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95076	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95076	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	1	0
95076	CMS	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
95076	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
95076	CMS	"Office Supply, Grocery"	SK077	"spoon, plastic"	item	0.0295	7	0
95115	CPT13 May 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95115	CPT13 May 55	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95115	CPT13 May 55	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
95115	CPT13 May 55	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95115	CPT13 May 55	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95117	CPT13 May 55	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95117	CPT13 May 55	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95117	CPT13 May 55	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
95117	CPT13 May 55	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	
95117	CPT13 May 55	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95144	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	0.01	0
95144	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	0.1	0
95144	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0
95144	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	0.1	0
95144	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95144	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	6.22	1	0
95144	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	6	0
95144	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
95144	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.4	0
95144	RUC	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.36	0.1	0
95144	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	1	0
95144	RUC	Lab	SL198	"label, vial"	item	0.007	1	0
95144	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	0.1	0
95145	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95145	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95145	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	21.945	1	0
95145	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95146	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95146	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
95146	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	21.945	2	0
95146	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
95147	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95147	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95147	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	45.8675	1	0
95147	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95148	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95148	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	2	0
95148	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	21.945	1	0
95148	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	45.8675	1	0
95148	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95149	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95149	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	3	0
95149	Sep02	"Pharmacy, Rx"	SH009	"antigen, venom"	ml	21.945	2	0
95149	Sep02	"Pharmacy, Rx"	SH010	"antigen, venom, tri-vespid"	ml	45.8675	1	0
95149	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95165	RUC	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	0.01	0
95165	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	0.1	0
95165	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.01	0
95165	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	0.1	0
95165	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95165	RUC	"Pharmacy, Rx"	SH007	"antigen, multi (pollen, mite, mold, cat)"	ml	6.22	1	0
95165	RUC	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	3	0
95165	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
95165	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	0.2	0
95165	RUC	"Office Supply, Grocery"	SK127	antigen vial transport envelopt	item	1.36	0.1	0
95165	RUC	Lab	SL027	color coded cap and vial (for antigen)	item	0.5805	0.1	0
95165	RUC	Lab	SL198	"label, vial"	item	0.007	0.1	0
95165	RUC	Infection Control	SM023	scrub brush (impregnated)	item	2.0217	0.1	0
95170	Sep02	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95170	Sep02	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95170	Sep02	"Pharmacy, Rx"	SH008	"antigen, single"	ml	5.64	1	0
95170	Sep02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95180	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95180	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95180	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	10	0
95180	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	4	0
95180	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	2	0
95180	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
95180	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	20	0
95180	CMS	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	15	0
95249	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95249	CMS	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.3638	1	
95249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
95249	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	9	
95250	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95250	RUC	"Accessory, Procedure"	SD114	"sensor, glucose monitoring (interstitial)"	item	50.7975	1	
95250	RUC	"Wound Care, Dressings"	SG036	"dressing, 4in x 4.75in (Polyskin)"	item	1.3638	1	
95250	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
95250	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	9	
95782	CPT13 May 35	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95782	CPT13 May 35	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95782	CPT13 May 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95782	CPT13 May 35	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95782	CPT13 May 35	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	
95782	CPT13 May 35	"Accessory, Procedure"	SD273	Pediatric cannula	item	103.3275	1	
95782	CPT13 May 35	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	7.285	1	
95782	CPT13 May 35	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95782	CPT13 May 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	11	
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	40	
95782	CPT13 May 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	20	
95782	CPT13 May 35	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95782	CPT13 May 35	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
95782	CPT13 May 35	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95782	CPT13 May 35	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95782	CPT13 May 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95783	CPT13 May 35	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95783	CPT13 May 35	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95783	CPT13 May 35	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95783	CPT13 May 35	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95783	CPT13 May 35	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	
95783	CPT13 May 35	"Accessory, Procedure"	SD273	Pediatric cannula	item	103.3275	1	
95783	CPT13 May 35	"Accessory, Procedure"	SD274	Self-adherent velcro wraps	item	7.285	1	
95783	CPT13 May 35	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95783	CPT13 May 35	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	11	
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	40	
95783	CPT13 May 35	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	20	
95783	CPT13 May 35	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95783	CPT13 May 35	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
95783	CPT13 May 35	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95783	CPT13 May 35	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95783	CPT13 May 35	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95800	RUC	"Accessory, Procedure"	SD263	WatchPAT pneumo-opt slp probes	item	73.395	1	
95800	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	
95800	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8	
95800	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
95800	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95800	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95800	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
95801	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95801	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	
95801	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8	
95801	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
95801	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95801	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95801	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
95803	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
95803	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
95805	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95805	CPT15 FTD Migration	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95805	CPT15 FTD Migration	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95805	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95805	CPT15 FTD Migration	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95805	CPT15 FTD Migration	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	6	
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	24	
95805	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95805	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95805	CPT15 FTD Migration	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95805	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95806	RUC	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95806	RUC	"Wound Care, Dressings"	SG005	"adhesive remover, liquid (Detachol) (0.67ml uou)"	item	2.358	1	
95806	RUC	"Wound Care, Dressings"	SG078	"tape, surgical occlusive 1in (Blenderm)"	inch	0.007	8	
95806	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
95806	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95806	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95806	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
95807	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95807	CPT15 FTD Migration	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95807	CPT15 FTD Migration	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
95807	CPT15 FTD Migration	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95808	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95808	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95808	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95808	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95808	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	
95808	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95808	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95808	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	6	
95808	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95808	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	24	
95808	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	
95808	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95808	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	3	
95808	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95808	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95808	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95810	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95810	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95810	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95810	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95810	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	
95810	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95810	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95810	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	9	
95810	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95810	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	36	
95810	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	18	
95810	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95810	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
95810	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95810	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95810	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95811	CPT11 42	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	4	
95811	CPT11 42	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95811	CPT11 42	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
95811	CPT11 42	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95811	CPT11 42	"Accessory, Procedure"	SD104	oximetry sensor wrap	item	0.475	1	
95811	CPT11 42	"Accessory, Procedure"	SD112	"sensor, airflow cannula (adult)"	item	3.0425	1	
95811	CPT11 42	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95811	CPT11 42	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	9	
95811	CPT11 42	"Pharmacy, NonRx"	SJ021	electrode conductive paste	oz	1.2565	4	
95811	CPT11 42	"Pharmacy, NonRx"	SJ023	electrode skin prep tape (One-Step)	inch	0.1128	36	
95811	CPT11 42	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	18	
95811	CPT11 42	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95811	CPT11 42	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
95811	CPT11 42	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95811	CPT11 42	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
95811	CPT11 42	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
95812	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95812	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95812	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95812	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95812	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95812	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
95812	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95812	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95812	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
95812	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	42	
95812	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95812	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95812	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95812	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95812	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95812	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95812	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.1	
95812	RUC	Lab	SL001	acetone	ml	0.0255	15	
95813	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95813	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95813	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95813	RUC	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95813	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95813	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
95813	RUC	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95813	RUC	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95813	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
95813	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	42	
95813	RUC	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95813	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95813	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95813	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95813	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95813	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95813	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.1	
95813	RUC	Lab	SL001	acetone	ml	0.0255	15	
95816	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95816	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95816	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95816	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95816	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95816	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95816	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
95816	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95816	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95816	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
95816	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	42	
95816	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95816	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95816	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95816	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95816	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95816	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95816	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.1	
95816	CMS	Lab	SL001	acetone	ml	0.0255	15	
95819	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95819	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95819	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95819	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95819	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95819	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95819	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
95819	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95819	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95819	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
95819	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	42	
95819	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95819	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95819	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95819	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95819	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95819	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95819	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.1	
95819	CMS	Lab	SL001	acetone	ml	0.0255	15	
95822	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95822	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95822	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95822	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95822	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95822	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95822	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
95822	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95822	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95822	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	
95822	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	42	
95822	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95822	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95822	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95822	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95822	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95822	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95822	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	0.1	
95822	CMS	Lab	SL001	acetone	ml	0.0255	15	
95827	Jan04 18	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95827	Jan04 18	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95827	Jan04 18	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95827	Jan04 18	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95827	Jan04 18	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95827	Jan04 18	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95827	Jan04 18	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95827	Jan04 18	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95827	Jan04 18	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95827	Jan04 18	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95827	Jan04 18	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95827	Jan04 18	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95827	Jan04 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95827	Jan04 18	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95827	Jan04 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	200	
95827	Jan04 18	Lab	SL001	acetone	ml	0.0255	0.5	
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD048	"electrode alligator clip, pair"	pair	10.195	1	
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD058	"electrode, grid"	item	475	1	
95829	CPT15 FTD Migration	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95829	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95829	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	500	
95830	Feb00	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
95830	Feb00	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
95830	Feb00	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95830	Feb00	"Accessory, Procedure"	SD061	"electrode, sphenoidal"	item	42.3848	2	0
95830	Feb00	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
95830	Feb00	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
95830	Feb00	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
95830	Feb00	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	5	0
95830	Feb00	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	4	0
95830	Feb00	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	0
95830	Feb00	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	0
95830	Feb00	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	0
95831	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95831	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95831	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95831	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95832	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95832	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95832	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95833	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
95833	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95833	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95833	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95833	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95834	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
95834	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95834	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95834	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95834	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95851	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
95851	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95851	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95851	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95851	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95852	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
95852	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95852	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95852	CMS	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
95857		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
95857		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
95857		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
95857		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
95857		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
95857		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
95857		"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
95857		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
95857		"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	0
95857		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
95857		"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	0
95857		"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
95857		Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
95860	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95860	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95860	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95860	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95860	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95860	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95860	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	3	
95860	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95860	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95860	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	
95860	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95861	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95861	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95861	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95861	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95861	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95861	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	2	
95861	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95861	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95861	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95861	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	
95861	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95863	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95863	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95863	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95863	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	3	
95863	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	9	
95863	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	
95863	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95863	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	18	
95863	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	7	
95864	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95864	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95864	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95864	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	4	
95864	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	12	
95864	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	
95864	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95864	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	24	
95864	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	9	
95865	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95865	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95865	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95865	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95865	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95865	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95865	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95865	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95865	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95866	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95866	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95866	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95866	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95866	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95866	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95866	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95866	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95866	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95867	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95867	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95867	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95867	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95867	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95867	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95867	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95867	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95867	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95868	CPT13 May 36	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95868	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95868	CPT13 May 36	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95868	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95868	CPT13 May 36	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95868	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	
95868	CPT13 May 36	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95868	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	8	
95868	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95869	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95869	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95869	CMS	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95869	CMS	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95869	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95869	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95869	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95869	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95869	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95869	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95870	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95870	RUC	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95870	RUC	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95870	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	
95870	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	
95870	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	4	
95870	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	5	
95870	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95872	Jan04 18	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95872	Jan04 18	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95872	Jan04 18	"Accessory, Procedure"	SD051	"electrode needle, monopolar EMG w-lead"	item	3.01	1	
95872	Jan04 18	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95872	Jan04 18	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95872	Jan04 18	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95872	Jan04 18	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	10	
95872	Jan04 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95872	Jan04 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95873	RUC05	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	
95873	RUC05	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95873	RUC05	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95873	RUC05	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95873	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95873	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95874	RUC05	"Accessory, Procedure"	SD050	"electrode needle, injectable (Myoject)"	item	21.2725	1	
95874	RUC05	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95874	RUC05	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95874	RUC05	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95874	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95874	RUC05	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	5	
95875		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95875		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95875		"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
95875		"Hypodermic, IV"	SC012	heparin lock	item	0.8028	1	
95875		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	7	
95875		"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
95875		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	7	
95875		"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
95875		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
95875		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95875		Lab	SL085	label for microscope slides	item	0.0545	14	
95875		Lab	SL143	test tube	item	0.2548	14	
95885	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95885	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95885	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	1	
95885	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	4	
95885	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95885	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95885	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95885	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95885	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95886	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95886	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95886	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	1	
95886	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95886	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	6	
95886	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95886	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95886	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	
95886	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95887	CPT12 May 31	"Accessory, Procedure"	SD049	"electrode needle, concentric EMG w-lead"	item	9.3747	1	
95887	CPT12 May 31	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95887	CPT12 May 31	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	1	
95887	CPT12 May 31	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	6	
95887	CPT12 May 31	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95887	CPT12 May 31	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95887	CPT12 May 31	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95887	CPT12 May 31	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95887	CPT12 May 31	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	3	
95905	CPT10 22	"Accessory, Procedure"	SD223	"electrode, array, nerve, preconfigured,"	item	39.235	1	
95905	CPT10 22	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95907	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95907	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95907	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95907	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95907	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95907	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	
95907	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
95907	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95907	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95907	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95907	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95908	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95908	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95908	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95908	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95908	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95908	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	8	
95908	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
95908	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95908	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	8	
95908	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95908	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95909	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95909	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95909	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95909	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95909	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	1	
95909	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	12	
95909	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	
95909	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95909	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	
95909	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95909	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95910	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95910	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95910	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95910	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95910	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	2	
95910	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	16	
95910	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	48	
95910	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95910	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	16	
95910	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95910	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95911	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95911	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95911	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95911	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95911	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	2	
95911	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	20	
95911	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	60	
95911	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95911	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	20	
95911	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95911	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
95912	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95912	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95912	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95912	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95912	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	2	
95912	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	24	
95912	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	72	
95912	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95912	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	24	
95912	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95912	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
95913	CPT13 May 36	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95913	CPT13 May 36	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95913	CPT13 May 36	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95913	CPT13 May 36	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95913	CPT13 May 36	"Accessory, Procedure"	SD275	Disposable electrode pack	each	2.4175	2	
95913	CPT13 May 36	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	26	
95913	CPT13 May 36	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	78	
95913	CPT13 May 36	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95913	CPT13 May 36	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	26	
95913	CPT13 May 36	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95913	CPT13 May 36	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	2	
95921	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95921	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	6	
95921	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
95921	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95921	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95921	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95921	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95922	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95922	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	6	
95922	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
95922	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95922	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95922	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95922	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95923	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.99	4	
95923	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95923	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
95923	RUC	"Accessory, Procedure"	SD276	Indicator powder	item		10	
95923	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	2	
95923	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95923	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95923	RUC	"Pharmacy, Rx"	SH002	acetylcholine (for patient use)	gm	0.4325	50	
95923	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95924	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95924	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	6	
95924	RUC	"Accessory, Procedure"	SD099	"mouthpiece, respiratory"	item	0.2228	1	
95924	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95924	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95924	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95924	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95925	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95925	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95925	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95925	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95925	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95925	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	8	
95925	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95925	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	24	
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95925	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95925	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95925	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
95925	CPT13 May 56	Lab	SL001	acetone	ml	0.0255	7	
95925	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.17	
95926	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95926	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95926	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95926	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95926	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95926	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	8	
95926	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95926	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	24	
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95926	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95926	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95926	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
95926	CPT13 May 56	Lab	SL001	acetone	ml	0.0255	7	
95926	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.17	
95927	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95927	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95927	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95927	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95927	CMS	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95927	CMS	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.7052	4	
95927	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95927	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	24	
95927	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95927	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95927	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95927	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95927	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95927	CMS	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
95927	CMS	Lab	SL001	acetone	ml	0.0255	15	
95927	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
95928	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95928	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95928	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	12	
95928	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95928	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	24	
95928	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95928	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
95928	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
95928	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.0948	1	
95928	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95928	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
95928	RUC	Lab	SL001	acetone	ml	0.0255	7	
95928	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.17	
95929	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95929	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95929	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95929	RUC	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	12	
95929	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95929	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	24	
95929	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95929	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
95929	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
95929	RUC	"Office Supply, Grocery"	SK021	emery board	item	0.0948	1	
95929	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95929	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	6	
95929	RUC	Lab	SL001	acetone	ml	0.0255	7	
95929	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.17	
95930	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
95930	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95930	RUC	"Accessory, Procedure"	SD166	"electrode, EGG (single)"	item	2.7052	2	
95930	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
95930	RUC	"Wound Care, Dressings"	SG046	"eye pad, sterile, strabismus"	item	0.8445	1	
95930	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
95930	RUC	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	8	
95930	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95930	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95930	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95930	RUC	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
95933	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95933	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95933	RUC	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95933	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95933	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	
95933	RUC	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95933	RUC	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95933	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	
95933	RUC	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95933	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95933	RUC	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95933	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95937	Feb01	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95937	Feb01	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95937	Feb01	"Accessory, Procedure"	SD052	"electrode, bar-style (single)"	item	0.2725	1	
95937	Feb01	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95937	Feb01	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	
95937	Feb01	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	36	
95937	Feb01	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95937	Feb01	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95937	Feb01	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	1	
95937	Feb01	"Pharmacy, NonRx"	SJ045	"sensor strip, skin temperature"	item	1.0613	1	
95937	Feb01	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95937	Feb01	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95937	Feb01	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	1	
95938	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95938	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95938	CPT13 May 56	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95938	CPT13 May 56	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95938	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95938	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	16	
95938	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
95938	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	48	
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	2	
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	20	
95938	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
95938	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95938	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	12	
95938	CPT13 May 56	Lab	SL001	acetone	ml	0.0255	15	
95938	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
95939	CPT13 May 56	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
95939	CPT13 May 56	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95939	CPT13 May 56	"Accessory, Procedure"	SD059	"electrode, ground"	item	0.6538	1	
95939	CPT13 May 56	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	24	
95939	CPT13 May 56	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	
95939	CPT13 May 56	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	48	
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	2	
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	4	
95939	CPT13 May 56	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
95939	CPT13 May 56	"Office Supply, Grocery"	SK021	emery board	item	0.0948	1	
95939	CPT13 May 56	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95939	CPT13 May 56	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	12	
95939	CPT13 May 56	Lab	SL001	acetone	ml	0.0255	15	
95939	CPT13 May 56	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
95950	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.5118	1	
95950	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95950	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95950	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95950	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95950	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95950	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95950	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	1.5	
95950	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95950	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	
95950	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95950	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95950	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95950	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
95950	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	
95950	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95950	CMS	"Office Supply, Grocery"	SK007	audio cassette tape 60 min	item	0.895	1	
95950	CMS	"Office Supply, Grocery"	SK011	"battery, AAA"	item	0.6212	4	
95950	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95950	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95950	CMS	Lab	SL001	acetone	ml	0.0255	15	
95953	CMS	"Kit, Pack, Tray"	SA002	"kit, ambulatory Holter"	kit	4.5118	1	
95953	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95953	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95953	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95953	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95953	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95953	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95953	CMS	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95953	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	20	
95953	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	
95953	CMS	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95953	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95953	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95953	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
95953	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	
95953	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95953	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95953	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95953	CMS	Lab	SL001	acetone	ml	0.0255	15	
95954	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95954	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95954	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
95954	CPT15 FTD Migration	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95954	CPT15 FTD Migration	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95954	CPT15 FTD Migration	"Accessory, Procedure"	SD054	"electrode, EEG, tin cup (12 pack uou)"	item	17.4375	2	
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95954	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95954	CPT15 FTD Migration	"Pharmacy, Rx"	SH004	albumin saline	ml	0.0975	1	
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	100	
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	
95954	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95954	CPT15 FTD Migration	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95954	CPT15 FTD Migration	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95954	CPT15 FTD Migration	Lab	SL001	acetone	ml	0.0255	15	
95955	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95955	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95955	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95955	CPT15 FTD Migration	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95955	CPT15 FTD Migration	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	
95955	CPT15 FTD Migration	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95955	CPT15 FTD Migration	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	
95955	CPT15 FTD Migration	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95955	CPT15 FTD Migration	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	800	
95955	CPT15 FTD Migration	Lab	SL001	acetone	ml	0.0255	15	
95956	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95956	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95956	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95956	CMS	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95956	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
95956	CMS	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95956	CMS	"Accessory, Procedure"	SD265	Imaging compatible electrodes	item	6.29	24	
95956	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95956	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	
95956	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
95956	CMS	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95956	CMS	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	5	
95956	CMS	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	2	
95956	CMS	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	15	
95956	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95956	CMS	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95956	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
95956	CMS	Lab	SL001	acetone	ml	0.0255	15	
95958	Mar04 H	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95958	Mar04 H	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95958	Mar04 H	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95958	Mar04 H	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95958	Mar04 H	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95958	Mar04 H	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95958	Mar04 H	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95958	Mar04 H	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95958	Mar04 H	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95958	Mar04 H	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95958	Mar04 H	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95958	Mar04 H	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95958	Mar04 H	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95958	Mar04 H	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95958	Mar04 H	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95958	Mar04 H	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95958	Mar04 H	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	200	
95958	Mar04 H	Lab	SL001	acetone	ml	0.0255	15	
95961	Jan04 18	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
95961	Jan04 18	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
95961	Jan04 18	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
95961	Jan04 18	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
95961	Jan04 18	"Hypodermic, IV"	SC034	"needle, blunt tip"	item	0.415	1	
95961	Jan04 18	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
95961	Jan04 18	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	2	
95961	Jan04 18	"Accessory, Procedure"	SD165	"electrode, EEG (single)"	item	1.8635	2	
95961	Jan04 18	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
95961	Jan04 18	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95961	Jan04 18	"Wound Care, Dressings"	SG077	"tape, porous-hypoallergenic 2in (Scanpore)"	inch	0.0203	6	
95961	Jan04 18	"Pharmacy, NonRx"	SJ014	collodion (2oz uou)	item	2.6233	1	
95961	Jan04 18	"Pharmacy, NonRx"	SJ020	electrode conductive gel	ml	0.0245	1	
95961	Jan04 18	"Pharmacy, NonRx"	SJ022	electrode skin prep gel (NuPrep)	ml	0.0795	10	
95961	Jan04 18	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	
95961	Jan04 18	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
95961	Jan04 18	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	
95961	Jan04 18	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	200	
95961	Jan04 18	Lab	SL001	acetone	ml	0.0255	0.5	
95981	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
95982	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
95990		"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	27.21	1	
95990		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
95990		"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	
95990		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
95990		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	
95990		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
95990		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
95990		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
95990		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
95991		"Kit, Pack, Tray"	SA076	"kit, refill for implantable medication pump"	item	27.21	1	0
95991		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
95991		"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
95991		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
95991		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	2	0
95991		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	0
95991		"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
95991		"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
95991		"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
95992	CPT09 30	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
95992	CPT09 30	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	0
95992	CPT09 30	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
95992	CPT09 30	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
95992	CPT09 30	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	0
95992	CPT09 30	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
96040	CPT07	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.33	
96105	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96105	RUC	"Pharmacy, NonRx"	SJ016	denture cup	item	0.2122	1	
96105	RUC	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
96105	RUC	"Office Supply, Grocery"	SK003	"aphasia assessment forms, average"	item	2.6275	1	
96110	RUC	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.35	1	
96116	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	1	0
96125	RUC	"Office Supply, Grocery"	SK050	"neurobehavioral status forms, average"	item	4	2	
96127	RUC	"Office Supply, Grocery"	SK119	"Beck Youth Inventory, Second Edition (BYI-II); Combination Inventory Booklet"	booklet	1.8575	1	
96150		"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1	0
96150		"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1	0
96150		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96151		"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1	0
96151		"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1	0
96151		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96152		"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1	0
96152		"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1	0
96152		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96153		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96154		"Kit, Pack, Tray"	SA018	"kit, interactive materials for behavioral assessment"	kit	0.04	1	0
96154		"Kit, Pack, Tray"	SA034	"kit, therapeutic toys-games (50% of the time)"	kit	0.1	1	0
96154		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96155		"Office Supply, Grocery"	SK006	assessment-monitoring instruments (50% use)	item	0.0887	1	0
96160	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
96161	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
96360	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
96360	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
96360	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96360	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96360	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96360	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	
96360	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96360	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96360	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	7	
96360	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
96365	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96365	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96365	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96365	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96365	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96365	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96365	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96365	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96365	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96367	CPT14 Mar 10	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96367	CPT14 Mar 10	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96367	CPT14 Mar 10	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96367	CPT14 Mar 10	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96368	CPT14	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96368	CPT14	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96369	CPT09 rn	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96369	CPT09 rn	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	2	
96369	CPT09 rn	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
96369	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96369	CPT09 rn	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	
96369	CPT09 rn	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	5.4425	1	
96369	CPT09 rn	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	10.495	4	
96369	CPT09 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96369	CPT09 rn	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	3	
96369	CPT09 rn	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96369	CPT09 rn	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	4	
96369	CPT09 rn	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	
96369	CPT09 rn	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	2	
96369	CPT09 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
96369	CPT09 rn	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	
96369	CPT09 rn	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	
96369	CPT09 rn	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	6	
96369	CPT09 rn	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	2	
96369	CPT09 rn	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96369	CPT09 rn	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	10	
96371	CPT09 rn	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96371	CPT09 rn	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
96371	CPT09 rn	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
96371	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96371	CPT09 rn	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	1	
96371	CPT09 rn	"Hypodermic, IV"	SC087	"tubing set, Y-type blood recipient"	item	5.4425	1	
96371	CPT09 rn	"Hypodermic, IV"	SC093	"IV infusion set, Sof-set (Minimed)"	item	10.495	2	
96371	CPT09 rn	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96371	CPT09 rn	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96371	CPT09 rn	"Wound Care, Dressings"	SG075	"tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)"	item	2.7708	2	
96371	CPT09 rn	"Pharmacy, Rx"	SH030	Emla cream	gm	2.1143	1	
96371	CPT09 rn	"Office Supply, Grocery"	SK095	"battery, AA"	item	0.545	1	
96371	CPT09 rn	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96371	CPT09 rn	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	10	
96372	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96372	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96372	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96373	CPT09 rn	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96373	CPT09 rn	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
96373	CPT09 rn	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96373	CPT09 rn	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96373	CPT09 rn	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96373	CPT09 rn	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
96374	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96374	RUC	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	
96374	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96374	RUC	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	
96374	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96374	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96374	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96375	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96375	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96375	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	7	
96375	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96377	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96377	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
963X0	RUC	"Office Supply, Grocery"	SK088	Woodcock Johnson test record	item	2.1	1	0
963X5	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0
963X5	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0
963X5	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0
963X6	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0
963X6	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0
963X6	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0
963X7	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0
963X7	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0
963X7	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0
963X8	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	0
963X8	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	0
963X8	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	0
963X9	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	
963X9	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	
963X9	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	
96401	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96401	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96401	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
96401	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96401	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
96401	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96401	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
96401	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96401	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96401	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96401	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96401	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96402	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96402	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	
96402	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96402	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96402	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96402	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96402	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	1	
96402	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
96405	APR08	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
96405	APR08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
96405	APR08	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	6	0
96405	APR08	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	6	0
96405	APR08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
96405	APR08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
96405	APR08	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	5	0
96405	APR08	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	25	0
96405	APR08	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	1	0
96405	APR08	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	50	0
96405	APR08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	0
96405	APR08	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
96406	APR08	"Kit, Pack, Tray"	SA041	"pack, basic injection"	pack	11.365	1	0
96406	APR08	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
96406	APR08	"Hypodermic, IV"	SC031	"needle, 30g"	item	0.393	12	0
96406	APR08	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	12	0
96406	APR08	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	6	0
96406	APR08	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	24	0
96406	APR08	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	10	0
96406	APR08	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	50	0
96406	APR08	"Pharmacy, NonRx"	SJ007	bacitracin oint (0.9gm uou)	item	0.1008	2	0
96406	APR08	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	100	0
96406	APR08	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	0
96406	APR08	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
96409	RUC	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96409	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96409	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96409	RUC	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96409	RUC	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	
96409	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96409	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
96409	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
96409	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
96409	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	
96409	RUC	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96409	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96409	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	7	
96409	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96409	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	2	
96409	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96411	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96411	RUC	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96411	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
96411	RUC	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
96411	RUC	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	
96411	RUC	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
96411	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96411	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	7	
96411	RUC	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96411	RUC	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	2	
96411	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96413	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96413	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96413	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
96413	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96413	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	
96413	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
96413	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	
96413	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
96413	CMS	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
96413	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
96413	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	
96413	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	
96413	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96413	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96413	CMS	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	
96413	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96413	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96413	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	1	
96416	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96416	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96416	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
96416	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96416	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
96416	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96416	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
96416	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	
96416	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	
96416	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96416	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96416	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
96416	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96416	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96416	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
96416	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96416	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.828	2	
96416	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96417	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	3	
96417	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96417	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
96417	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
96417	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96417	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96417	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96417	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96417	CMS	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96420	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96420	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96420	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
96420	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96420	Mar02	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96420	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	4	
96420	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96420	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96420	Mar02	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	60	
96420	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96422	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96422	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96422	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	
96422	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96422	Mar02	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
96422	Mar02	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	
96422	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	4	
96422	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96422	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96422	Mar02	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	60	
96422	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
96422	Mar02	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96425	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96425	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96425	Mar02	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
96425	Mar02	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
96425	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96425	Mar02	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	
96425	Mar02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96425	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
96425	Mar02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
96425	Mar02	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	
96425	Mar02	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96425	Mar02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	
96425	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96425	Mar02	Lab	SL126	"sodium chloride, 99.0% min."	gm	0.0367	1	
96440	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
96440	Mod sed	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353	1	0
96440	Mod sed	"Kit, Pack, Tray"	SA077	"kit, pleural catheter insertion"	kit	384.44	1	0
96440	Mod sed	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
96440	Mod sed	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
96440	Mod sed	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
96440	Mod sed	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
96440	Mod sed	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
96440	Mod sed	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
96440	Mod sed	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
96440	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
96440	Mod sed	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
96440	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
96440	Mod sed	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	0
96440	Mod sed	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
96440	Mod sed	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
96440	Mod sed	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
96440	Mod sed	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
96440	Mod sed	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	0
96440	Mod sed	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
96440	Mod sed	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
96440	Mod sed	"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
96440	Mod sed	"Accessory, Procedure"	SD093	HEPA filter	item	4.9715	1	0
96440	Mod sed	"Accessory, Procedure"	SD144	"canister, vacuum, pleural (w-drainage line)"	item	27.04	2	0
96440	Mod sed	"Cutters, Closures, Cautery"	SF033	"scalpel with blade, surgical (#10-20)"	item	0.7805	1	0
96440	Mod sed	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
96440	Mod sed	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
96440	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	32	0
96440	Mod sed	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	5	0
96440	Mod sed	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
96440	Mod sed	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
96446	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96446	CMS	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	0
96446	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
96446	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
96446	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
96446	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	0
96446	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	0
96446	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
96446	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
96446	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	0
96446	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
96446	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
96446	CMS	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0
96446	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	0
96446	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	0
96446	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
96446	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	2	0
96446	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
96446	CMS	"Pharmacy, NonRx"	SJ081	"swab, patient prep, 1.5 ml  (chloraprep)"	item	1.0525	1	0
96446	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
96446	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	0
96446	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	6	0
96450	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96450	CMS	"Kit, Pack, Tray"	SA065	"tray, lumbar puncture"	tray	17.724	1	0
96450	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
96450	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
96450	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
96450	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
96450	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
96450	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
96450	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	0
96450	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	1	0
96450	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
96450	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	0
96450	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	6	0
96521	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96521	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96521	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96521	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
96521	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96521	CMS	"Hypodermic, IV"	SC013	infusion pump cassette-reservoir	item	11.9097	1	
96521	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
96521	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	2	
96521	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96521	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96521	CMS	"Office Supply, Grocery"	SK010	"battery, 9 volt"	item	1.828	2	
96522	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96522	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96522	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96522	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
96522	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
96522	CMS	"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	
96522	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	
96522	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
96522	CMS	"Hypodermic, IV"	SC054	syringe 30 ml	item	0.71	1	
96522	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	
96522	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96522	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96522	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96523	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
96523	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96523	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
96523	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
96523	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
96523	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	
96523	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96523	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
96523	CMS	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
96523	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96523	CMS	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	1	
96523	CMS	"Pharmacy, Rx"	SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	item	0.73	1	
96542	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96542	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	3	0
96542	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
96542	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
96542	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
96542	CMS	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	1	0
96542	CMS	"Hypodermic, IV"	SC039	"needle, Huber point"	item	3.4885	1	0
96542	CMS	"Hypodermic, IV"	SC049	"stop cock, 3-way"	item	1.1413	1	0
96542	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	3	0
96542	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	3	0
96542	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	0
96542	CMS	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	2	0
96542	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
96542	CMS	"Office Supply, Grocery"	SK018	"cup, drinking"	item	0.025	1	0
96542	CMS	"Office Supply, Grocery"	SK040	graham crackers (one packet)	item	0.8003	1	0
96542	CMS	"Office Supply, Grocery"	SK042	"juice, apple"	oz	0.0517	6	0
96567	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96567	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
96567	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
96567	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	4	
96567	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
96567	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	
96567	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	30	
96567	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	0.5	
96567	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	3	
96567	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	
96567	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
96567	RUC	"Office Supply, Grocery"	SK041	ice (per cup)	item	0.045	1	
96567	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
96573	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
96573	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
96573	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	5	
96573	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	
96573	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	
96573	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
96573	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
96573	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
96573	RUC	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3	
96573	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
96573	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	2	
96573	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	
96573	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
96573	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
96573	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	30	
96573	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	0.5	
96573	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	3	
96573	RUC	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	4	
96573	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.9625	2	
96573	RUC	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.627	1	
96573	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.35	1	
96573	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
96573	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.014	1	
96573	RUC	Lab	SL001	acetone	ml	0.0255	5	
96573	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	
96573	RUC	Lab	SL471	Q-tip	each	0.1766	4	
96573	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
96574	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
96574	RUC	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	
96574	RUC	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	2	
96574	RUC	"Gown, Drape"	SB016	"drape-cover, sterile, OR light handle"	item	1.0693	1	
96574	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	5	
96574	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	
96574	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	5	
96574	RUC	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	
96574	RUC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
96574	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
96574	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
96574	RUC	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	
96574	RUC	"Hypodermic, IV"	SC080	"needle, OSHA compliant (SafetyGlide)"	item	0.5355	2	
96574	RUC	"Accessory, Procedure"	SD326	patient/clinician goggles	item	6	3	
96574	RUC	"Cutters, Closures, Cautery"	SF020	"cautery, monopolar, pencil-handpiece"	item	4.896	1	
96574	RUC	"Cutters, Closures, Cautery"	SF024	"curette, dermal"	item	1.7248	1	
96574	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	
96574	RUC	"Wound Care, Dressings"	SG043	"dressing, eye pad (Opticlude)"	item	0.331	2	
96574	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	
96574	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
96574	RUC	"Pharmacy, Rx"	SH046	lidocaine 1% w-epi inj (Xylocaine w-epi)	ml	0.068	6	
96574	RUC	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28	1	
96574	RUC	"Pharmacy, Rx"	SH092	LMX 4% anesthetic cream	gm	1.7702	30	
96574	RUC	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	0.5	
96574	RUC	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	3	
96574	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.9625	2	
96574	RUC	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	1	
96574	RUC	"Office Supply, Grocery"	SK009	bath soap (one bar uou)	item	0.627	1	
96574	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.35	1	
96574	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
96574	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.014	1	
96574	RUC	Lab	SL001	acetone	ml	0.0255	5	
96574	RUC	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	
96574	RUC	Lab	SL471	Q-tip	each	0.1766	4	
96574	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	
96900	Sep04 D	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96900	Sep04 D	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
96900	Sep04 D	"Office Supply, Grocery"	SK045	lip screen	item	1.35	1	
96900	Sep04 D	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	1	
96900	Sep04 D	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
96902	Jan04 23	Lab	SL030	"cover slip, glass"	item	0.079	1	0
96902	Jan04 23	Lab	SL036	"cup, biopsy-specimen sterile 4oz"	item	0.3297	1	0
96902	Jan04 23	Lab	SL085	label for microscope slides	item	0.0545	1	0
96902	Jan04 23	Lab	SL095	mounting media (Histomount)	ml	0.1512	1	0
96902	Jan04 23	Lab	SL122	"slide, microscope"	item	0.1313	1	0
96904	RUC	"Gown, Drape"	SB050	"bolster covers, disposable"	item	0.065	3	
96904	RUC	"Gown, Drape"	SB051	Disposable underwear	item		1	
96904	RUC	"Office Supply, Grocery"	SK058	"paper, photo printing (8.5 x 11)"	item	0.5375	36	
96904	RUC	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
96904	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
96910	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96910	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96910	RUC	"Gown, Drape"	SB021	"gloves, cotton"	pair	1.6963	1	
96910	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
96910	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	
96910	RUC	"Gown, Drape"	SB038	safety glasses	item	2.6565	0.1	
96910	RUC	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	1	
96910	RUC	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	
96910	RUC	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	10	
96910	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	3	
96910	RUC	"Gown, Drape"	SB054	Sauna suit	item	9.99	0.5	
96910	RUC	"Accessory, Procedure"	SD236	"Single Patient Discard Bag, 400 ml"	item	1.16	1	
96910	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
96910	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96910	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
96910	RUC	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	30	
96910	RUC	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.04	3	
96910	RUC	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	240	
96910	RUC	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	4	
96910	RUC	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	0.3	
96910	RUC	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	100	
96910	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
96910	RUC	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.9625	1	
96910	RUC	"Office Supply, Grocery"	SK045	lip screen	item	1.35	0.04	
96910	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.014	2	
96910	RUC	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	2	
96910	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	
96910	RUC	Lab	SL087	lens paper	item	0.0977	2	
96910	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
96910	RUC	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	
96910	RUC	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	2	
96912	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96912	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
96912	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	
96912	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	1.6963	1	
96912	CMS	"Gown, Drape"	SB038	safety glasses	item	2.6565	0.1	
96912	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	
96912	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	2	
96912	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
96912	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	
96912	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96912	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
96912	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	30	
96912	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.04	3	
96912	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	4	
96912	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	0.3	
96912	CMS	"Pharmacy, NonRx"	SJ034	methoxsalen 10mg (Oxsoralen)	item	6.2495	3	
96912	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	100	
96912	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
96912	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.9625	1	
96912	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.35	0.04	
96912	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	2	
96912	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	8	
96912	CMS	Lab	SL087	lens paper	item	0.0977	2	
96912	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
96912	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	1	
96912	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	4	
96913	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	2	
96913	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
96913	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	
96913	CMS	"Gown, Drape"	SB021	"gloves, cotton"	pair	1.6963	2	
96913	CMS	"Gown, Drape"	SB038	safety glasses	item	2.6565	0.1	
96913	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	
96913	CMS	"Gown, Drape"	SB043	"towel, professional 13in x 18in"	item	0.04	6	
96913	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	4	
96913	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	6	
96913	CMS	"Wound Care, Dressings"	SG017	"bandage, Kling, non-sterile 2in"	item	0.6847	2	
96913	CMS	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
96913	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	
96913	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	60	
96913	CMS	"Pharmacy, NonRx"	SJ006	anthralin ointment	gm	3.04	6	
96913	CMS	"Pharmacy, NonRx"	SJ013	coal tar soln	ml	0.024	480	
96913	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	4	
96913	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	0.3	
96913	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	300	
96913	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	12	
96913	CMS	"Pharmacy, NonRx"	SJ064	zinc oxide ointment	oz	0.9625	1	
96913	CMS	"Office Supply, Grocery"	SK045	lip screen	item	1.35	0.04	
96913	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	2	
96913	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	24	
96913	CMS	Lab	SL087	lens paper	item	0.0977	2	
96913	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
96913	CMS	Infection Control	SM015	enzymatic detergent	oz	0.2268	2	
96913	CMS	Infection Control	SM021	sanitizing cloth-wipe (patient)	item	0.0452	8	
96920	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96920	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
96920	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
96920	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
96920	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
96920	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
96920	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
96920	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
96920	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
96920	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	6	0
96920	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
96920	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	1	0
96920	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
96920	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	12	0
96920	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	1	0
96920	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	1	0
96920	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	2	0
96920	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
96920	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
96920	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	1	0
96920	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0
96920	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	1	0
96920	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
96920	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
96921	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96921	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
96921	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
96921	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	2	0
96921	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
96921	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
96921	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
96921	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	3	0
96921	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
96921	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	6	0
96921	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
96921	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	1	0
96921	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
96921	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	12	0
96921	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	1	0
96921	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	2	0
96921	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	4	0
96921	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
96921	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
96921	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	1	0
96921	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0
96921	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	1	0
96921	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
96921	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
96922	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
96922	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
96922	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	2	0
96922	CMS	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
96922	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
96922	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
96922	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	0
96922	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
96922	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	1	0
96922	CMS	"Wound Care, Dressings"	SG082	"cotton balls, sterile"	item	0.0236	6	0
96922	CMS	"Pharmacy, Rx"	SH050	"lidocaine 4% soln, topical  (Xylocaine)"	ml	0.1598	1	0
96922	CMS	"Pharmacy, Rx"	SH072	triamcinolone acetonide 0.1% cream	gm	0.054	1	0
96922	CMS	"Pharmacy, NonRx"	SJ008	bacitracin oint (15gm uou)	item	1.4278	1	0
96922	CMS	"Pharmacy, NonRx"	SJ026	Eucerin cream	oz	1.0605	12	0
96922	CMS	"Pharmacy, NonRx"	SJ027	"goggles, uv-blocking"	item	6.7425	1	0
96922	CMS	"Pharmacy, NonRx"	SJ029	"ice pack, instant"	item	1.145	4	0
96922	CMS	"Pharmacy, NonRx"	SJ035	mineral oil	ml	0.0132	8	0
96922	CMS	"Pharmacy, NonRx"	SJ038	petroleum jelly	oz	0.3033	1	0
96922	CMS	"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	0
96922	CMS	"Office Supply, Grocery"	SK078	sunscreen lotion (spf15)	oz	0.6367	1	0
96922	CMS	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	6	0
96922	CMS	Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	1	0
96922	CMS	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	2	0
96922	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	3	0
96931	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96931	RUC	"Kit, Pack, Tray"	SA121	Imaging Tray	item	28.4525	1	
96931	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
96931	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96931	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
96931	RUC	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.79	1	
96931	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
96932	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
96932	RUC	"Kit, Pack, Tray"	SA121	Imaging Tray	item	28.4525	1	
96932	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
96932	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96932	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
96932	RUC	"Office Supply, Grocery"	SK125	Adhesive ruler	item	9.79	1	
96932	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	1	
96934	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
96934	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96934	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
96935	RUC	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	3	
96935	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
96935	RUC	"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
96X10	RUC	"Office Supply, Grocery"	SK130	WAIS-IV Record Form	item	5.25	1	
96X10	RUC	"Office Supply, Grocery"	SK131	WAIS-IV Response Booklet #1	item	3.3	1	
96X10	RUC	"Office Supply, Grocery"	SK132	WMS-IV Response Booklet #2	item	2	1	
96X11	RUC	"Office Supply, Grocery"	SK067	"psych testing forms, average"	item	2.205	1	0
97012	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97012	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97012	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
97012	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	2	
97014	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97014	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97014	RUC	"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	2	
97014	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
97014	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
97014	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1	
97014	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
97016	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97016	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	1	
97018	RUC	"Office Supply, Grocery"	SK061	paraffin for therapy bath	lb	3.1735	0.25	
97018	RUC	"Office Supply, Grocery"	SK066	plastic wrap	foot	0.014	1.5	
97022	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97022	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97022	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.7143	1	
97028	Feb01	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
97032	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97032	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97032	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	
97032	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
97032	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1	
97032	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
97033	RUC	"Kit, Pack, Tray"	SA014	"kit, electrode, iontophoresis"	kit	3.99	1	
97033	RUC	"Hypodermic, IV"	SC052	syringe 1ml	item	0.17	1	
97033	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
97033	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
97034	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97034	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97034	RUC	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.7143	1	
97035	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97035	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
97035	RUC	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
97035	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	1	
97035	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	1	
97036	Feb01	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	
97036	Feb01	Infection Control	SM026	whirlpool antiseptic (80gm pack) (Chlorazene)	item	1.7143	1	
97110	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97110	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5	
97110	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97110	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97112	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97112	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5	
97112	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97112	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97113	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97113	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97113	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97116	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97116	RUC	"Pharmacy, NonRx"	SJ056	Thera-bands (6in width)	foot	0.602	1.5	
97116	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97116	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97124	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	
97124	CMS	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.196	0.5	
97140	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97140	RUC	"Office Supply, Grocery"	SK046	"lotion, massage, unscented"	oz	0.196	2	
97140	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97140	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97150	CPT13 Mar 16	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97150	CPT13 Mar 16	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	
97150	CPT13 Mar 16	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
97150	CPT13 Mar 16	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	
97150	CPT13 Mar 16	Infection Control	SM024	"soap, liquid, antibacterial"	oz	0.1948	1	
97161	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97161	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
97161	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
97162	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97162	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
97162	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
97163	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97163	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
97163	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
97164	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97164	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
97164	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	5	
97165	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97165	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	
97165	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	3	
97165	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
97165	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	
97166	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97166	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	
97166	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	3	
97166	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
97166	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	
97167	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97167	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	
97167	RUC	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	3	
97167	RUC	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
97167	RUC	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	
97168	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
97168	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	1	
97168	CMS	"Wound Care, Dressings"	SG030	"cotton balls, non-sterile"	item	0.008	3	
97168	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	2	
97168	CMS	Infection Control	SM020	"lotion, antibacterial"	oz	0.29	1	
97530	RUC	"Kit, Pack, Tray"	SA040	"kit, woodworking"	kit	12.99	0.25	
97530	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97530	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97530	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97533	RUC	"Kit, Pack, Tray"	SA028	"kit, sensory integration"	kit	8.4175	1	
97533	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97533	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97533	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97535	RUC	"Kit, Pack, Tray"	SA007	"kit, cooking activity ingredients (mac-cheese)"	kit	1.075	1	
97535	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97535	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97535	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97537	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97537	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97537	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97542	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97542	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97542	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97597	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
97597	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
97597	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
97597	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
97597	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
97597	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
97597	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
97597	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
97597	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
97597	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
97597	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
97597	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
97597	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
97597	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
97597	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
97597	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
97597	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
97597	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
97597	CMS	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
97598	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	1	0
97598	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
97598	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
97598	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
97598	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
97598	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
97598	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
97598	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
97605	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
97605	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
97605	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
97605	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
97605	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
97606	RUC	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	1	0
97606	RUC	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
97606	RUC	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
97606	RUC	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	1	0
97606	RUC	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
97610	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
97610	CMS	"Kit, Pack, Tray"	SA119	"kit, low frequency ultrasound wound therapy (MIST)"		127.5425	1	0
97610	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
97610	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
97610	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
97610	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	1	0
97610	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	36	0
97610	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
97610	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
97750	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
97755	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.2	
97755	CMS	"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	24	
97755	CMS	"Office Supply, Grocery"	SK020	drinking straw	item	0.0125	0.3	
97755	CMS	"Office Supply, Grocery"	SK039	"foam 3in, therapy positioning (per 1 sq in)"	item	0.0365	6	
97755	CMS	"Office Supply, Grocery"	SK084	"Velcro, standard"	foot	0.5215	0.2	
97755	CMS	"Office Supply, Grocery"	SK085	"Velcro, strong (Poly-Lock)"	foot	3.0775	0.2	
97760	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	
97760	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
97760	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5	
97760	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.4865	5	
97760	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97760	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	85	
97760	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97761	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	
97761	RUC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	0.75	
97761	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	0.3	
97761	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.5568	0.2	
97761	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97761	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97763	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	0.5	
97763	RUC	"Wound Care, Dressings"	SG002	"adhesive bonder, orthotic"	oz	0.375	0.5	
97763	RUC	"Wound Care, Dressings"	SG027	"cast, stockinette 4in"	yd	0.4943	0.4	
97763	RUC	"Wound Care, Dressings"	SG058	moleskin 9in width	foot	3.5568	0.7	
97763	RUC	"Wound Care, Dressings"	SG060	outrigger line	yd	0.0783	7	
97763	RUC	"Wound Care, Dressings"	SG061	outrigger post	item	0.399	3	
97763	RUC	"Pharmacy, Rx"	SH035	fluori-methane (cold spray)	ml	0.4865	5	
97763	RUC	"Pharmacy, NonRx"	SJ047	splint straps 1in	item	1.6142	0.7	
97763	RUC	"Pharmacy, NonRx"	SJ048	splint straps 2in	item	1.9837	1.3	
97763	RUC	"Office Supply, Grocery"	SK071	"rubber bands, non-sterile"	item	0.0225	4	
97763	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	4	
97763	RUC	"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	85	
97763	RUC	Infection Control	SM012	disinfectant spray (Transeptic)	ml	0.0335	5	
97802	CPT09 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.25	0
97802	CPT09 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	0
97802	CPT09 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.25	0
97803	CPT09 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.25	0
97803	CPT09 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	0
97803	CPT09 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.25	0
97804	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.25	0
97804	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	0
97804	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.1	0
97810	CPT05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
97810	CPT05	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
97810	CPT05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
97810	CPT05	"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
97810	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.0955	12	0
97810	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
97811	CPT05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
97811	CPT05	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
97811	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.0955	12	0
97811	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
97813	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
97813	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.0955	12	0
97813	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
97814	CPT05	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
97814	CPT05	"Hypodermic, IV"	SC075	"needle, acupuncture"	item	0.0955	12	0
97814	CPT05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
98940	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
98940	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
98941	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
98941	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
98942	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
98942	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
98943	CPT14 Nov HCPAC	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
98943	CPT14 Nov HCPAC	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
98960	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.25	
98961	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.25	
98962	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.25	
990X1	RUC	NO DETAILS	SX007	NO SUPPLIES			1	
99151	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.6208	1	0
99152	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.6208	1	0
99170	CPT14 May 27	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
99170	CPT14 May 27	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
99170	CPT14 May 27	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
99170	CPT14 May 27	"Accessory, Procedure"	SD118	"specula, vaginal"	item	0.745	1	0
99170	CPT14 May 27	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
99170	CPT14 May 27	"Pharmacy, NonRx"	SJ033	lubricating jelly (Surgilube)	oz	0.5182	1	0
99170	CPT14 May 27	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
99170	CPT14 May 27	Lab	SL146	tubed culture media	item	0.8668	2	0
99170	CPT14 May 27	Lab	SL157	"cup, sterile, 8 oz"	item	0.5515	1	0
99174	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	
99174	RUC	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
99175	Jan04 14	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
99175	Jan04 14	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	1	
99175	Jan04 14	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	2	
99175	Jan04 14	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	
99175	Jan04 14	"Pharmacy, NonRx"	SJ030	ipecac syrup (1oz uou)	item	2.0612	1	
99177	CMS	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	1	
99177	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	1	
99188	RUC	"Wound Care, Dressings"	SG053	"gauze, sterile 2in x 2in"	item	0.057	1	0
99188	RUC	"Pharmacy, Rx"	SH106	CavityShield 5% Varnish .25mL		0.91	1	0
99188	RUC	"Office Supply, Grocery"	SK012	CDC information sheet	item	0.0112	1	0
99195	Mar02	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
99195	Mar02	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
99195	Mar02	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
99195	Mar02	"Hypodermic, IV"	SC004	blood collection bag	item	6.2075	1	
99195	Mar02	"Wound Care, Dressings"	SG014	"bandage, elastic, self-adherent wrap 1in (Coban)"	item	1.3778	1	
99195	Mar02	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	
99195	Mar02	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	
99195	Mar02	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	1	
99195	Mar02	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	1	
99195	Mar02	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	3	
99195	Mar02	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	
99201	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99202	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99203	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99204	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99205	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99211	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99212	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99213	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99214	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99215	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99241	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99242	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99243	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99244	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99245	Apr00	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99291	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99291	Mar03 20	"Hypodermic, IV"	SC001	angiocatheter 14g-24g	item	1.7412	1	0
99291	Mar03 20	"Hypodermic, IV"	SC018	iv infusion set	item	1.1515	2	0
99291	Mar03 20	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
99291	Mar03 20	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	120	0
99291	Mar03 20	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
99291	Mar03 20	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	2	0
99291	Mar03 20	"Pharmacy, Rx"	SH075	"water, sterile inj"	ml	0.0343	30	0
99291	Mar03 20	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	0
99292	Mar03 20	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	60	0
99292	Mar03 20	"Pharmacy, Rx"	SH067	sodium chloride 0.9% inj (250-1000ml uou)	item	2.1285	1	0
99324	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99324	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99324	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99324	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99324	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99324	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99325	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99325	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99325	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99325	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99325	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99325	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99326	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99326	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99326	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99326	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99326	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99326	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99327	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99327	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99327	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99327	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99327	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99327	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99328	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99328	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99328	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99328	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99328	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99328	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99334	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99334	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99334	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99334	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99334	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99334	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99335	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99335	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99335	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99335	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99335	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99335	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99336	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99336	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99336	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99336	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99336	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99336	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99337	RUC05	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99337	RUC05	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99337	RUC05	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99337	RUC05	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99337	RUC05	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99337	RUC05	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99341	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99341	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99341	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99341	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99341	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99341	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99342	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99342	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99342	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99342	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99342	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99342	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99343	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99343	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99343	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99343	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99343	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99343	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99344	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99344	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99344	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99344	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99344	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99344	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99345	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99345	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99345	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99345	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99345	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99345	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99347	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99347	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99347	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99347	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99347	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99347	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99348	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99348	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99348	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99348	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99348	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99348	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99349	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99349	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99349	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99349	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99349	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99349	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99350	Mar03 20	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
99350	Mar03 20	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
99350	Mar03 20	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
99350	Mar03 20	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
99350	Mar03 20	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
99350	Mar03 20	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
99366	CPT08 HP	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.33	0
99381	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99381	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0
99381	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
99382	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99382	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0
99382	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
99383	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99384	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99385	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99386	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99387	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99391	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99391	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0
99391	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
99392	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99392	Mar03 20	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0
99392	Mar03 20	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
99393	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99394	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99395	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99396	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99397	Mar03 20	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99401	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99402	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99403	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99404	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99406	CPT08 V	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99407	CPT08 V	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99408	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99409	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99411	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99411	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99412	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99412	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99461	Mar03 rn	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99461	Mar03 rn	"Gown, Drape"	SB032	"liner, baby scale"	item	0.074	1	0
99461	Mar03 rn	"Office Supply, Grocery"	SK048	"measuring tape, paper"	item	0.0532	1	0
99483	RUC	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99483	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	1	0
99483	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99484	CMS	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	1	0
99484	CMS	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
99492	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	4	0
99492	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	2	0
99492	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
99493	RUC	"Office Supply, Grocery"	SK005	assessment monitoring instruments	item	0.1825	4	0
99493	RUC	"Office Supply, Grocery"	SK114	tissue (Kleenex)	box	1.6075	0.05	0
99495	CPT13 CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99496	CPT13 CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
99497	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
99497	RUC	"Office Supply, Grocery"	SK115	Reproduced patient worksheet	item		1	0
G0101		"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
G0104		"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	0
G0104		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	0
G0104		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	5	0
G0104		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
G0104		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	3	0
G0104		"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	3	0
G0104		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
G0104		"Gown, Drape"	SB037	pillow case	item	0.3478	1	0
G0104		"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0104		"Accessory, Procedure"	SD040	"cytology, brush"	item	0.475	1	0
G0104		"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
G0104		"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	3	0
G0104		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	10	0
G0104		"Pharmacy, NonRx"	SJ001	alcohol isopropyl 70%	ml	0.009	3	0
G0104		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
G0104		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	4	0
G0104		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	6	0
G0104		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
G0104		Infection Control	SM010	"cleaning brush, endoscope"	item	4.5315	1	0
G0104		Infection Control	SM015	enzymatic detergent	oz	0.2268	1	0
G0104		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	6.4	0
G0104		Infection Control	SM019	"glutaraldehyde test strips (Cidex, Metrex)"	item	0.969	1	0
G0105		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	0
G0105		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
G0105		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
G0105		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
G0105		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
G0105		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
G0105		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
G0105		"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
G0105		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
G0105		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
G0105		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
G0105		"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0105		"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
G0105		"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
G0105		"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	0
G0105		"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
G0105		"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
G0105		"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
G0105		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0106	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
G0106	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
G0106	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G0106	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
G0106	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
G0108	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.5	
G0108	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	4	
G0108	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	
G0109	RUC	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.25	
G0109	RUC	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
G0109	RUC	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.1	
G0117		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	
G0117		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	
G0117		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G0118		"Kit, Pack, Tray"	SA082	"pack, ophthalmology visit (w-dilation)"	pack	2.4752	1	
G0118		"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	3	
G0118		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G0120	CMS	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
G0120	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
G0120	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G0120	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
G0120	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
G0121		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	6	0
G0121		"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
G0121		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
G0121		"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
G0121		"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	3	0
G0121		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
G0121		"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	3	0
G0121		"Hypodermic, IV"	SC019	iv tubing (extension)	foot	0.6075	1	0
G0121		"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	3	0
G0121		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	2	0
G0121		"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
G0121		"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0121		"Accessory, Procedure"	SD009	"canister, suction"	item	4.0085	1	0
G0121		"Accessory, Procedure"	SD031	"catheter, suction"	item	0.545	1	0
G0121		"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	4	0
G0121		"Accessory, Procedure"	SD134	"tubing, suction, non-latex (6ft) with Yankauer tip (1)"	item	2.2933	1	0
G0121		"Cutters, Closures, Cautery"	SF021	"cautery, patient ground pad w-cord"	item	4.0575	1	0
G0121		"Wound Care, Dressings"	SG076	"tape, elastic, 2in (Elastoplast, Elasticon) (5yd uou)"	item	3.569	1	0
G0121		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0122	CPT15 FTD Migration	"Kit, Pack, Tray"	SA004	"kit, barium with insufflator"	kit	33.2613	1	
G0122	CPT15 FTD Migration	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	2	
G0122	CPT15 FTD Migration	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G0122	CPT15 FTD Migration	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
G0122	CPT15 FTD Migration	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	
G0124		"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
G0124		"Accessory, Procedure"	SD040	"cytology, brush"	item	0.475	1	0
G0124		Lab	SL026	clearing agent (Histo-clear)	ml	0.011	4	0
G0124		Lab	SL030	"cover slip, glass"	item	0.079	1	0
G0124		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
G0124		Lab	SL071	fixative spray	ml	0.047	1	0
G0124		Lab	SL085	label for microscope slides	item	0.0545	1	0
G0124		Lab	SL095	mounting media (Histomount)	ml	0.1512	0.6	0
G0124		Lab	SL122	"slide, microscope"	item	0.1313	1	0
G0124		Lab	SL137	"stain, PAP EA-50"	ml	0.035	3	0
G0127	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
G0127	CMS	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
G0127	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
G0127	CMS	"Gown, Drape"	SB040	"slippers, paper"	pair	0.201	1	0
G0127	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
G0127	CMS	"Cutters, Closures, Cautery"	SF009	"blade, surgical chisel 81-86 (Beaver)"	item	3.3758	1	0
G0127	CMS	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
G0127	CMS	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	2	0
G0127	CMS	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
G0127	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
G0127	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0130		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
G0130		"Gown, Drape"	SB037	pillow case	item	0.3478	1	
G0166	RUC	"Gown, Drape"	SB037	pillow case	item	0.3478	1	
G0166	RUC	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	3	
G0166	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
G0166	RUC	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
G0168	RUC	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	0
G0168	RUC	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	2	0
G0168	RUC	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	36.9685	1	0
G0168	RUC	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	1	0
G0168	RUC	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
G0168	RUC	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
G0168	RUC	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	10	0
G0168	RUC	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0245	CPT12	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
G0246	CPT12	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
G0247	CPT12	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
G0247	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0247	CPT12	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
G0247	CPT12	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
G0247	CPT12	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
G0247	CPT12	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
G0247	CPT12	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
G0247	CPT12	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0247	CPT12	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0247	CPT12	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
G0247	CPT12	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	1	0
G0247	CPT12	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
G0247	CPT12	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
G0247	CPT12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	2	0
G0247	CPT12	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	12	0
G0247	CPT12	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
G0247	CPT12	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
G0247	CPT12	"Pharmacy, NonRx"	SJ028	hydrogen peroxide	ml	0.0123	10	0
G0247	CPT12	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1	1	0
G0248	PFS07	"Hypodermic, IV"	SC021	lancet	item	0.081	4	
G0248	PFS07	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	4	
G0248	PFS07	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	5.1825	4	
G0248	PFS07	"Office Supply, Grocery"	SK011	"battery, AAA"	item	0.6212	3	
G0248	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G0249	CMS	"Hypodermic, IV"	SC021	lancet	item	0.081	6	
G0249	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	6	
G0249	CMS	"Pharmacy, NonRx"	SJ055	"test strip, INR"	item	5.1825	6	
G0268	RUC	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0268	RUC	"Cutters, Closures, Cautery"	SF023	curette for ear cerumen	item	0.8793	2	0
G0268	RUC	"Wound Care, Dressings"	SG008	"applicator, cotton-tipped, non-sterile 6in"	item	0.0227	2	0
G0268	RUC	"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	1	0
G0268	RUC	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	0
G0270	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
G0270	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	0
G0270	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.33	0
G0271	PFS07	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	0
G0271	PFS07	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	0
G0271	PFS07	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.1	0
G0277	CMS	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	0.25	
G0277	CMS	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	0.5	
G0277	CMS	"Accessory, Procedure"	SD077	"gas, air"	cu ft	0.025	7.5	
G0277	CMS	"Accessory, Procedure"	SD084	"gas, oxygen"	liter	0.0047	11900	
G0277	CMS	"Pharmacy, NonRx"	SJ063	urinal	item	3.0225	0.25	
G0277	CMS	"Pharmacy, NonRx"	SJ069	"test strip, glucose (blood test)"	item	0.8957	1	
G0277	CMS	Lab	SL088	lint-free cloth	item	0.2022	1	
G0277	CMS	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	0.25	
G0277	CMS	Infection Control	SM025	"specula tips, otoscope"	item	0.135	0.5	
G0281		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G0281		"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	2	
G0281		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
G0281		"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.022	1	
G0281		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
G0281		"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
G0283		"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G0283		"Accessory, Procedure"	SD055	"electrode, electrical stimulation"	item	1.0865	2	
G0283		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	
G0283		"Pharmacy, NonRx"	SJ024	electrolyte coupling gel	ml	0.022	1	
G0283		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	
G0283		"Office Supply, Grocery"	SK068	razor	item	0.4193	1	
G0296		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0297	CMS	"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	
G0297	CMS	"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	
G0329		"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	
G0329		"Gown, Drape"	SB049	"condom, Diapulse, Asepticap"	item	0.7075	1	
G0329		Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
G0341	Mod sed	"Kit, Pack, Tray"	SA016	"kit, guidewire introducer (Micro-Stick)"	kit	25.68	1	0
G0341	Mod sed	"Kit, Pack, Tray"	SA019	"kit, iv starter"	kit	1.4675	1	0
G0341	Mod sed	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0341	Mod sed	"Kit, Pack, Tray"	SA067	"tray, shave prep"	tray	1.6765	1	0
G0341	Mod sed	"Kit, Pack, Tray"	SA071	"kit, AccuStick II Introducer System with RO Marker"	kit	82.5925	1	0
G0341	Mod sed	"Gown, Drape"	SB001	"cap, surgical"	item	0.4417	2	0
G0341	Mod sed	"Gown, Drape"	SB008	"drape, sterile, c-arm, fluoro"	item	4.723	1	0
G0341	Mod sed	"Gown, Drape"	SB009	"drape, sterile, femoral"	item	14.2492	1	0
G0341	Mod sed	"Gown, Drape"	SB019	"drape-towel, sterile 18in x 26in"	item	0.4415	4	0
G0341	Mod sed	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	3	0
G0341	Mod sed	"Gown, Drape"	SB028	"gown, surgical, sterile"	item	4.7858	2	0
G0341	Mod sed	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
G0341	Mod sed	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
G0341	Mod sed	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0341	Mod sed	"Hypodermic, IV"	SC008	"catheter, angiographic, pig-tail"	item	17.4975	1	0
G0341	Mod sed	"Hypodermic, IV"	SC010	"closed flush system, angiography"	item	52.1247	1	0
G0341	Mod sed	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
G0341	Mod sed	"Accessory, Procedure"	SD089	"guidewire, hydrophilic"	item	37.4675	1	0
G0341	Mod sed	"Accessory, Procedure"	SD136	vascular sheath	item	28.575	1	0
G0341	Mod sed	"Accessory, Procedure"	SD147	"catheter, (Glide)"	item	58.7375	1	0
G0341	Mod sed	"Accessory, Procedure"	SD148	"catheter, (SIM2F1)"	item	16.055	1	0
G0341	Mod sed	"Accessory, Procedure"	SD153	"catheter, curved"	item	17.8937	1	0
G0341	Mod sed	"Accessory, Procedure"	SD154	"catheter, microcatheter (selective 3rd order)"	item	336.4375	1	0
G0341	Mod sed	"Accessory, Procedure"	SD171	"guidewire bowl w-lid, sterile"	item	3.2475	2	0
G0341	Mod sed	"Accessory, Procedure"	SD172	"guidewire, cerebral (Bentson)"	item	22.9425	1	0
G0341	Mod sed	"Accessory, Procedure"	SD175	"guidewire, steerable (Transcend)"	item	192.8975	1	0
G0341	Mod sed	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	1	0
G0341	Mod sed	"Wound Care, Dressings"	SG009	"applicator, sponge-tipped"	item	0.1418	4	0
G0341	Mod sed	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	2	0
G0341	Mod sed	"Wound Care, Dressings"	SG037	"dressing, 4in x 4.75in (Tegaderm)"	item	1.4783	1	0
G0341	Mod sed	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
G0341	Mod sed	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
G0341	Mod sed	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	6	0
G0341	Mod sed	"Pharmacy, Rx"	SH039	"heparin 1,000 units-ml inj"	ml	0.2622	5	0
G0341	Mod sed	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	10	0
G0341	Mod sed	"Pharmacy, Rx"	SH065	sodium chloride 0.9% flush syringe	item	0.7783	2	0
G0341	Mod sed	"Pharmacy, NonRx"	SJ041	povidone soln (Betadine)	ml	0.016	60	0
G0341	Mod sed	Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	0
G0342	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		2.5
G0342	CPT12	"Kit, Pack, Tray"	SA052	"pack, post-op incision care (staple)"	pack	4.992		1
G0343	CPT12	"Kit, Pack, Tray"	SA031	"kit, suture removal"	kit	1.2005		1
G0343	CPT12	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
G0343	CPT12	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
G0343	CPT12	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199		3
G0343	CPT12	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575		6
G0343	CPT12	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186		6
G0343	CPT12	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905		1
G0343	CPT12	"Wound Care, Dressings"	SG039	"dressing, 5in x 9in (ABD-Combine)"	item	0.2598		3
G0343	CPT12	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606		3
G0343	CPT12	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222		3
G0343	CPT12	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004		18
G0343	CPT12	"Pharmacy, Rx"	SH074	"water, sterile for irrigation (250-1000ml uou)"	item	2.28		0.5
G0343	CPT12	"Pharmacy, NonRx"	SJ046	silver nitrate applicator	item	0.1		3
G0365	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
G0365	CMS	"Gown, Drape"	SB005	"cover-condom, transducer or ultrasound probe"	item	1.3775	1	
G0365	CMS	"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
G0365	CMS	"Pharmacy, NonRx"	SJ062	ultrasound transmission gel	ml	0.0173	30	
G0365	CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G0365	CMS	Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	0.34	
G0365	CMS	Infection Control	SM022	"sanitizing cloth-wipe (surface, instruments, equipment)"	item	0.052	2	
G0396	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
G0397	CPT08 W	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	0
G0402	CPT11	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
G0402	CPT11	"Office Supply, Grocery"	SK100	preventive assessment forms	item	2.3925	1	0
G0403	CPT11	"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
G0403	CPT11	"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
G0403	CPT11	"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
G0412	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		3
G0412	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
G0413	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
G0413	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
G0414	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
G0414	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
G0415	CPT09 rv	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122		4
G0415	CPT09 rv	"Kit, Pack, Tray"	SA054	"pack, post-op incision care (suture)"	pack	4.8353		1
G0416	RUC	"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	2	
G0416	RUC	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	0.1	
G0416	RUC	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	0.1	
G0416	RUC	"Accessory, Procedure"	SD005	biopsy sponge (Histo-Prep)	item	0.048	12	
G0416	RUC	"Cutters, Closures, Cautery"	SF004	"blade, microtome"	item	1.9447	1.2	
G0416	RUC	"Wound Care, Dressings"	SG049	"eye shield, non-fog"	item	0.555	0.1	
G0416	RUC	"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	12	
G0416	RUC	"Office Supply, Grocery"	SK082	"towel, paper (Bounty) (per sheet)"	item	0.007	2	
G0416	RUC	Lab	SL020	bleach	ml	0.0033	10	
G0416	RUC	Lab	SL030	"cover slip, glass"	item	0.079	36	
G0416	RUC	Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	12	
G0416	RUC	Lab	SL058	embedding cassette	item	0.1492	12	
G0416	RUC	Lab	SL060	embedding mold	item	1.3967	12	
G0416	RUC	Lab	SL061	embedding paraffin	kg	5.3473	0.1	
G0416	RUC	Lab	SL068	fixative (for tissue specimen)	ml	0.013	600	
G0416	RUC	Lab	SL070	fixative processing (buffered formalin)	ml	0.009	168	
G0416	RUC	Lab	SL078	histology freezing spray (Freeze-It)	oz	1.4123	1.2	
G0416	RUC	Lab	SL085	label for microscope slides	item	0.0545	36	
G0416	RUC	Lab	SL093	"mold release agent, liquid"	ml	0.0715	1.2	
G0416	RUC	Lab	SL095	mounting media (Histomount)	ml	0.1512	12	
G0416	RUC	Lab	SL122	"slide, microscope"	item	0.1313	36	
G0416	RUC	Lab	SL135	"stain, hematoxylin"	ml	0.044	192	
G0416	RUC	Lab	SL151	xylenes solvent	ml	0.012	360	
G0416	RUC	Lab	SL189	"ethanol, 100%"	ml	0.0033	360	
G0416	RUC	Lab	SL190	"ethanol, 70%"	ml	0.0033	48	
G0416	RUC	Lab	SL201	"stain, eosin"	ml	0.0657	48	
G0416	RUC	Lab	SL248	"ethanol, 95%"	ml	0.0033	216	
G0416	RUC	Lab	SL468	Paraffin repel	ml	0.1904	12	
G0416	RUC	Lab	SL469	Clarifier	ml	0.005	24	
G0416	RUC	Infection Control	SM027	"wipes, lens cleaning (per wipe) (Kimwipe)"	item	0.0198	12	
G0420	CPT11 rv	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	1	
G0420	CPT11 rv	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
G0420	CPT11 rv	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G0421	CPT11	"Office Supply, Grocery"	SK043	label for files-folders	item	0.0775	0.5	
G0421	CPT11	"Office Supply, Grocery"	SK057	"paper, laser printing (each sheet)"	item	0.0088	2	
G0421	CPT11	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.2	
G0429	CPT11	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0429	CPT11	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	1	0
G0429	CPT11	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	1	0
G0429	CPT11	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0438	CPT11	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	
G0438	CPT11	"Office Supply, Grocery"	SK100	preventive assessment forms	item	2.3925	1	
G0439	CPT11	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	
G0439	CPT11	"Office Supply, Grocery"	SK100	preventive assessment forms	item	2.3925	1	
G0442		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0443		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0444		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0445	CPT13 CMS	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0446		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0447		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.5	0
G0451	CPT12	"Office Supply, Grocery"	SK001	ages & stages questionnaire	item	0.35	1	
G0455	CPT13	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0455	CPT13	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	0
G0455	CPT13	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	1	0
G0455	CPT13	"Gown, Drape"	SB033	"mask, surgical"	item	0.1745	1	0
G0455	CPT13	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0455	CPT13	"Accessory, Procedure"	SD277	polypropelene funnel	item	0.3575	1	0
G0455	CPT13	Lab	SL018	"beaker, 250 ml"	item	0.7505	1	0
G0455	CPT13	Lab	SL020	bleach	ml	0.0033	300	0
G0455	CPT13	Lab	SL066	"filter, nylon mesh (55mm)"	item	0.5435	1	0
G0455	CPT13	Lab	SL107	phosphate buffered saline solution	ml	0.0333	50	0
G0455	CPT13	Infection Control	SM016	"eye shield, splash protection"	item	1.8982	1	0
G0460	CMS	"Kit, Pack, Tray"	SA043	"pack, cleaning, surgical instruments"	pack	7.1568	1	0
G0460	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0460	CMS	"Gown, Drape"	SB007	"drape, sterile barrier 16in x 29in"	item	0.498	1	0
G0460	CMS	"Gown, Drape"	SB011	"drape, sterile, fenestrated 16in x 29in"	item	0.5753	1	0
G0460	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
G0460	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
G0460	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
G0460	CMS	"Gown, Drape"	SB042	"towel, non-sterile"	item	0.4057	2	0
G0460	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0460	CMS	"Hypodermic, IV"	SC026	"needle, 15-16g"	item	0.219	1	0
G0460	CMS	"Hypodermic, IV"	SC030	"needle, 19-25g, butterfly"	item	0.7335	1	0
G0460	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
G0460	CMS	"Hypodermic, IV"	SC053	syringe 20ml	item	0.626	1	0
G0460	CMS	"Hypodermic, IV"	SC055	syringe 3ml	item	0.1345	1	0
G0460	CMS	"Hypodermic, IV"	SC056	syringe 50-60ml	item	0.9432	1	0
G0460	CMS	"Hypodermic, IV"	SC057	syringe 5-6ml	item	0.145	2	0
G0460	CMS	"Cutters, Closures, Cautery"	SF007	"blade, surgical (Bard-Parker)"	item	0.5713	2	0
G0460	CMS	"Wound Care, Dressings"	SG018	"bandage, Kling, non-sterile 3in"	item	0.4645	2	0
G0460	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
G0460	CMS	"Wound Care, Dressings"	SG035	"dressing, 3in x 4in (Telfa, Release)"	item	0.1205	4	0
G0460	CMS	"Wound Care, Dressings"	SG052	"gauze, self-adherent roll 0.5in to 2in (Fabco, Gauztex)"	inch	0.0222	72	0
G0460	CMS	"Wound Care, Dressings"	SG056	"gauze, sterile 4in x 4in (10 pack uou)"	item	0.606	4	0
G0460	CMS	"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	20	0
G0460	CMS	"Pharmacy, Rx"	SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	item	2.3905	1	0
G0460	CMS	"Pharmacy, NonRx"	SJ009	"basin, irrigation"	item	1.6565	1	0
G0460	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	3	0
G0460	CMS	Lab	SL033	culture swab system (Culturette)	item	0.8887	1	0
G0473		"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	0.1	0
G0500	RUC	"Kit, Pack, Tray"	SA044	"pack, moderate sedation"	pack	17.6208	1	0
G0515	CMS	"Kit, Pack, Tray"	SA001	"kit, activity-crafts"	kit	5.06	1	
G0516	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0516	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
G0516	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
G0516	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
G0516	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
G0516	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	0
G0516	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
G0516	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
G0516	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0516	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
G0516	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
G0516	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	36.9685	1	0
G0516	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	1	0
G0516	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
G0516	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
G0516	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
G0516	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
G0516	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
G0516	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
G0516	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
G0517	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0517	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
G0517	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	1	0
G0517	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	2	0
G0517	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	2	0
G0517	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	0
G0517	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
G0517	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
G0517	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0517	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	1	0
G0517	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	1	0
G0517	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	36.9685	1	0
G0517	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	1	0
G0517	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	1	0
G0517	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	2	0
G0517	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	1	0
G0517	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	15	0
G0517	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	1	0
G0517	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	1	0
G0517	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	2	0
G0518	CMS	"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	0
G0518	CMS	"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	0
G0518	CMS	"Gown, Drape"	SB013	"drape, sterile, hand-upper extremity"	item	15.652	2	0
G0518	CMS	"Gown, Drape"	SB024	"gloves, sterile"	pair	0.8575	4	0
G0518	CMS	"Gown, Drape"	SB027	"gown, staff, impervious"	item	1.186	4	0
G0518	CMS	"Gown, Drape"	SB029	"cap-headcover, patient"	item	0.0582	1	0
G0518	CMS	"Gown, Drape"	SB034	"mask, surgical, with face shield"	item	1.2193	2	0
G0518	CMS	"Gown, Drape"	SB039	"shoe covers, surgical"	pair	0.2785	2	0
G0518	CMS	"Gown, Drape"	SB044	underpad 2ft x 3ft (Chux)	item	0.2525	1	0
G0518	CMS	"Hypodermic, IV"	SC029	"needle, 18-27g"	item	0.0767	1	0
G0518	CMS	"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	0
G0518	CMS	"Hypodermic, IV"	SC058	"syringe w-needle, OSHA compliant (SafetyGlide)"	item	0.4487	2	0
G0518	CMS	"Cutters, Closures, Cautery"	SF040	"suture, vicryl, 3-0 to 6-0, p, ps"	item	6.9665	1	0
G0518	CMS	"Cutters, Closures, Cautery"	SF044	"blade, surgical, super-sharp"	item	4.2725	2	0
G0518	CMS	"Wound Care, Dressings"	SG007	"adhesive, skin (Dermabond)"	item	36.9685	2	0
G0518	CMS	"Wound Care, Dressings"	SG013	"bandage, elastic wrap 6in (Ace)"	item	1.3542	2	0
G0518	CMS	"Wound Care, Dressings"	SG021	"bandage, strip 0.75in x 3in (Bandaid)"	item	0.1347	2	0
G0518	CMS	"Wound Care, Dressings"	SG055	"gauze, sterile 4in x 4in"	item	0.1268	4	0
G0518	CMS	"Wound Care, Dressings"	SG074	steri-strip (6 strip uou)	item	1.222	2	0
G0518	CMS	"Pharmacy, Rx"	SH047	lidocaine 1%-2% inj (Xylocaine)	ml	0.0413	30	0
G0518	CMS	"Pharmacy, NonRx"	SJ043	povidone swabsticks (3 pack uou)	item	0.4267	2	0
G0518	CMS	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	0
G0518	CMS	"Pharmacy, NonRx"	SJ088	"swab, patient prep, 3.0 ml  (chloraprep)"	item	1.9025	4	0
G6001		"Gown, Drape"	SB012	"drape, sterile, for Mayo stand"	item	1.5335	1	
G6001		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	
G6001		Infection Control	SM018	"glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)"	oz	0.9838	32	
G6002		"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
G6003		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6003		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6003		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6003		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6003		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6004		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6004		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6004		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6004		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6004		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6005		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6005		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6005		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6005		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6005		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6006		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6006		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6006		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6006		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6006		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6007		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6007		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6007		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6007		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6007		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6008		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6008		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6008		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	2	
G6008		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6008		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6009		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6009		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6009		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6009		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6009		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6010		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6010		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6010		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6010		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6010		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6011		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6011		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6011		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6011		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6011		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6012		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6012		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6012		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6012		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6012		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6013		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6013		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6013		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6013		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6013		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6014		"Gown, Drape"	SB037	pillow case	item	0.3478	2	
G6014		"Pharmacy, NonRx"	SJ010	"basin, emesis"	item	0.2245	2	
G6014		"Office Supply, Grocery"	SK075	"skin marking pen, sterile (Skin Skribe)"	item	1.191	1	
G6014		"Office Supply, Grocery"	SK087	"water, distilled"	oz	0.0147	10	
G6014		Infection Control	SM013	"disinfectant, surface (Envirocide, Sanizide)"	oz	0.1673	1	
G6015		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
G6015		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
G6015		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
G6015		"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
G6015		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
G6015		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	8	
G6015		"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
G6015		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	
G6015		"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	
G6015		Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	7	
G6016		"Kit, Pack, Tray"	SA048	"pack, minimum multi-specialty visit"	pack	2.1122	1	
G6016		"Gown, Drape"	SB006	"drape, non-sterile, sheet 40in x 60in"	item	0.199	1	
G6016		"Hypodermic, IV"	SC051	syringe 10-12ml	item	0.1905	1	
G6016		"Accessory, Procedure"	SD024	"catheter, Foley"	item	8.5775	1	
G6016		"Wound Care, Dressings"	SG051	"gauze, non-sterile 4in x 4in"	item	0.0338	4	
G6016		"Wound Care, Dressings"	SG079	"tape, surgical paper 1in (Micropore)"	inch	0.004	8	
G6016		"Pharmacy, NonRx"	SJ018	earplugs	pair	0.2188	1	
G6016		"Pharmacy, NonRx"	SJ032	lubricating jelly (K-Y) (5gm uou)	item	0.1845	2	
G6016		"Office Supply, Grocery"	SK073	skin marking ink (tattoo)	ml	0.2933	2	
G6016		Lab	SL006	"alcohol, ethyl, denatured"	ml	0.027	7	
G9187	CPT14	"Gown, Drape"	SB004	"cover, thermometer probe"	item	0.0835	1	
G9187	CPT14	"Gown, Drape"	SB022	"gloves, non-sterile"	pair	0.138	1	
G9187	CPT14	"Pharmacy, NonRx"	SJ053	"swab-pad, alcohol"	item	0.0198	2	
G9187	CPT14	"Pharmacy, NonRx"	SJ061	tongue depressor	item	0.0165	1	
G9187	CPT14	"Office Supply, Grocery"	SK062	patient education booklet	item	1.8625	1	
G9187	CPT14	Infection Control	SM025	"specula tips, otoscope"	item	0.135	1	
GPC1X	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	0.055	0
GPD0X	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
GPD1X	CMS	"Kit, Pack, Tray"	SA047	"pack, EM visit"	pack	4.1755	1	0
P3001		"Gown, Drape"	SB023	"gloves, non-sterile, nitrile"	pair	0.895	1	0
P3001		"Accessory, Procedure"	SD040	"cytology, brush"	item	0.475	1	0
P3001		Lab	SL026	clearing agent (Histo-clear)	ml	0.011	4	0
P3001		Lab	SL030	"cover slip, glass"	item	0.079	1	0
P3001		Lab	SL035	"cup, biopsy-specimen non-sterile 4oz"	item	0.1127	1	0
P3001		Lab	SL071	fixative spray	ml	0.047	1	0
P3001		Lab	SL085	label for microscope slides	item	0.0545	1	0
P3001		Lab	SL095	mounting media (Histomount)	ml	0.1512	0.6	0
P3001		Lab	SL122	"slide, microscope"	item	0.1313	1	0
P3001		Lab	SL137	"stain, PAP EA-50"	ml	0.035	3	0
Q0035		"Accessory, Procedure"	SD053	"electrode, ECG (single)"	item	0.0825	10	
Q0035		"Wound Care, Dressings"	SG050	"gauze, non-sterile 2in x 2in"	item	0.1498	2	
Q0035		"Office Supply, Grocery"	SK059	"paper, recording (per sheet)"	item	0.0653	4	
Q0091		"Gown, Drape"	SB026	"gown, patient"	item	1.2848	1	0
Q0091		"Gown, Drape"	SB036	"paper, exam table"	foot	0.014	7	0
